How much rates vary
Facilitymedian $132 · 10th to 90th $66 to $1,230Professionalmedian $71 · 10th to 90th $58 to $724
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 $61.66 Median $81.28 Typical High $151.36 | Facility | None | $61.66 | $81.28 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $77.62 | Professional | None (both parts) | $61.66 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $26.92 | $28.84 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | TC · Technical part | $34.67 | $34.67 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $33.11 | $43.65 |
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 $57.54 Median $70.79 Typical High $138.04 | Professional | None (both parts) | $57.54 | $70.79 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $36.31 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $28.84 | $32.36 | $57.54 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $69.18 Median $74.13 Typical High $97.72 | Professional | None (both parts) | $69.18 | $74.13 | $97.72 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $41.69 | Professional | 26 · Professional part | $29.51 | $30.90 | $41.69 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $39.81 | $42.66 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $851.14 | Facility | None | $109.65 | $109.65 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $117.49 | Professional | None (both parts) | $57.54 | $60.26 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $29.51 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $30.20 | $33.88 | $61.66 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $131.83 Typical High $831.76 | Facility | None | $66.07 | $131.83 | $831.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $57.54 | $724.44 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $27.54 | $331.13 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $30.20 | $562.34 | $562.34 |
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 $53.70 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $53.70 | $63.10 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $30.20 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.11 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $33.11 | $52.48 |
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 $30.90 Median $31.62 Typical High $37.15 | Professional | 52 · Reduced service | $30.90 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $14.79 | Professional | 53 · Discontinued | $12.30 | $12.59 | $14.79 |
Where Missouri sits
The same service costs 3.6 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· 25th of 51
$70.79
MN $141TX $38.90
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.