How much rates vary
Facilitymedian $65 · 10th to 90th $28 to $490Professionalmedian $39 · 10th to 90th $28 to $398
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $26.30 Median $33.88 Typical High $58.88 | Facility | None | $26.30 | $33.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $27.54 Typical High $44.67 | Professional | None (both parts) | $26.30 | $27.54 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.51 Typical High $12.02 | Professional | 26 · Professional part | $7.94 | $8.51 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.05 Typical High $31.62 | Professional | TC · Technical part | $18.62 | $19.05 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $43.65 | Professional | None (both parts) | $23.99 | $28.84 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $12.59 | Professional | 26 · Professional part | $7.24 | $8.71 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $50.12 | Professional | None (both parts) | $34.67 | $42.66 | $50.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $25.70 | Professional | 26 · Professional part | $8.91 | $10.96 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $36.31 | Professional | TC · Technical part | $25.70 | $29.51 | $36.31 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.90 Typical High $42.66 | Professional | None (both parts) | $29.51 | $30.90 | $42.66 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $12.30 | Professional | 26 · Professional part | $8.71 | $9.12 | $12.30 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $20.89 | $21.88 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $446.68 | Facility | None | $93.33 | $93.33 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $24.55 | $33.88 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $8.51 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $16.60 | $23.99 | $42.66 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $97.72 Typical High $363.08 | Facility | None | $40.74 | $97.72 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $33.88 | $398.11 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $7.76 | $131.83 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $25.70 | $134.90 | $134.90 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $724.44 | Facility | None | $676.08 | $676.08 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $57.54 | Professional | None (both parts) | $29.51 | $37.15 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $7.59 | $8.51 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $41.69 | Professional | TC · Technical part | $21.88 | $28.18 | $41.69 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.80 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $13.80 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.50 Typical High $6.46 | Professional | 53 · Discontinued | $5.25 | $5.50 | $6.46 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $23.99 Median $26.30 Typical High $30.20 | Professional | 59 · Distinct service | $23.99 | $26.30 | $30.20 |
Where Missouri sits
The same service costs 2.5 times more in Minnesota than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 21st of 51
$38.90
MN $67.61TX $26.92
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.