How much rates vary
Facilitymedian $93 · 10th to 90th $41 to $912Professionalmedian $65 · 10th to 90th $40 to $191
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 $38.02 Median $50.12 Typical High $87.10 | Facility | None | $38.02 | $50.12 | $87.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $16.98 | Facility | 26 · Professional part | $10.00 | $12.88 | $16.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $37.15 Typical High $52.48 | Facility | TC · Technical part | $27.54 | $37.15 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $38.02 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $10.47 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $28.84 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $56.23 | Professional | None (both parts) | $25.12 | $34.67 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.00 Typical High $15.85 | Professional | 26 · Professional part | $9.12 | $10.00 | $15.85 |
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 $56.23 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $56.23 | $64.57 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $37.15 | Professional | 26 · Professional part | $13.18 | $16.98 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $67.61 | Professional | TC · Technical part | $42.66 | $50.12 | $67.61 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $43.65 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $43.65 | $45.71 | $64.57 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $10.72 | $11.48 | $15.49 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.88 Typical High $50.12 | Professional | TC · Technical part | $33.11 | $33.88 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $851.14 | Facility | None | $162.18 | $162.18 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $34.67 | $51.29 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $22.91 | Professional | 26 · Professional part | $9.55 | $12.88 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $38.90 Typical High $72.44 | Professional | TC · Technical part | $25.12 | $38.90 | $72.44 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $199.53 Typical High $602.56 | Facility | None | $72.44 | $199.53 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $56.23 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $56.23 | $630.96 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $12.02 | $223.87 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $43.65 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Facility | None | $1,174.90 | $1,174.90 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $50.12 | $63.10 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $12.02 | $13.18 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $69.18 | Professional | TC · Technical part | $38.02 | $48.98 | $69.18 |
2 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 $19.05 Median $19.95 Typical High $23.44 | Professional | 52 · Reduced service | $19.05 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $9.33 | Professional | 53 · Discontinued | $7.59 | $7.94 | $9.33 |
Where Missouri sits
The same service costs 3.3 times more in Minnesota than in Utah. 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· 14th of 51
$64.57
MN $105UT $31.62
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.