How much rates vary
Facilitymedian $178 · 10th to 90th $63 to $1,000Professionalmedian $72 · 10th to 90th $58 to $447
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 $85.11 Median $85.11 Typical High $97.72 | Facility | None | $85.11 | $85.11 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $79.43 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $23.99 | Professional | 26 · Professional part | $19.50 | $20.42 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $64.57 | $75.86 |
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 $69.18 Typical High $93.33 | Professional | None (both parts) | $57.54 | $69.18 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $23.99 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $48.98 | $67.61 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $109.65 | $117.49 | $154.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $23.44 | $24.55 | $32.36 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $87.10 | $93.33 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $446.68 | Facility | None | $141.25 | $141.25 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $64.57 | $75.86 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.42 Typical High $37.15 | Professional | 26 · Professional part | $18.20 | $20.42 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $57.54 | $95.50 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $177.83 Typical High $467.74 | Facility | None | $63.10 | $177.83 | $467.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $60.26 | $446.68 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $18.20 | $323.59 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $41.69 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Facility | None | $407.38 | $407.38 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $51.29 | $66.07 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $19.95 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $89.13 | Professional | TC · Technical part | $36.31 | $45.71 | $89.13 |
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 $42.66 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $42.66 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.95 |
Where Missouri sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 38th of 51
$72.44
ND $186KY $53.70
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.