How much rates vary
Facilitymedian $79 · 10th to 90th $40 to $977Professionalmedian $42 · 10th to 90th $25 to $100
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 $45.71 Typical High $53.70 | Facility | None | $38.02 | $45.71 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $47.86 | Professional | None (both parts) | $38.02 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.79 Typical High $17.38 | Professional | 26 · Professional part | $13.80 | $14.79 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $24.55 Typical High $30.20 | Professional | TC · Technical part | $23.99 | $24.55 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $31.62 | $37.15 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $12.59 | $12.88 | $18.62 |
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 $19.95 Median $41.69 Typical High $57.54 | Professional | None (both parts) | $19.95 | $41.69 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $28.84 | Professional | 26 · Professional part | $15.49 | $18.62 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $19.95 | $24.55 | $37.15 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $41.69 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $41.69 | $44.67 | $60.26 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $14.79 | $15.85 | $20.89 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $26.92 | $28.84 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $851.14 | Facility | None | $83.18 | $83.18 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $34.67 | $39.81 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $28.84 | Professional | 26 · Professional part | $13.49 | $15.14 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $21.38 | $24.55 | $45.71 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $79.43 Typical High $831.76 | Facility | None | $40.74 | $79.43 | $831.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $36.31 | $346.74 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $13.80 | $89.13 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $22.91 | $199.53 | $199.53 |
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 $33.88 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $33.88 | $40.74 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $25.12 | Professional | 26 · Professional part | $13.18 | $15.49 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $39.81 | Professional | TC · Technical part | $20.89 | $25.12 | $39.81 |
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 $22.91 | Professional | 52 · Reduced service | $19.05 | $19.95 | $22.91 |
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 2.7 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· 31st of 51
$41.69
MN $83.18UT $30.90
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.