How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $323.59 Median $323.59 Typical High $380.19 | Facility | None | $323.59 | $323.59 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $380.19 | Professional | None (both parts) | $302.00 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $128.82 Typical High $151.36 | Professional | 26 · Professional part | $123.03 | $128.82 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $194.98 Typical High $229.09 | Professional | TC · Technical part | $186.21 | $194.98 | $229.09 |
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 $144.54 Median $199.53 Typical High $446.68 | Professional | None (both parts) | $144.54 | $199.53 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $144.54 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $144.54 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $128.82 | $194.98 | $316.23 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $194.98 | Professional | None (both parts) | $131.83 | $131.83 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $1,584.89 | Facility | None | $562.34 | $1,071.52 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $288.40 | $302.00 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $123.03 Typical High $190.55 | Professional | 26 · Professional part | $114.82 | $123.03 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $181.97 | $288.40 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $1,659.59 | Facility | None | $302.00 | $1,122.02 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $831.76 Typical High $1,862.09 | Professional | None (both parts) | $295.12 | $831.76 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $281.84 Typical High $741.31 | Professional | 26 · Professional part | $112.20 | $281.84 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $407.38 Typical High $1,122.02 | Professional | TC · Technical part | $173.78 | $407.38 | $1,122.02 |
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 $263.03 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $263.03 | $323.59 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $186.21 | Professional | 26 · Professional part | $104.71 | $123.03 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $154.88 | $199.53 | $288.40 |
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 $151.36 Median $162.18 Typical High $190.55 | Professional | 52 · Reduced service | $151.36 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $64.57 | $75.86 |
Where Missouri sits
The same service costs 9.8 times more in Alaska than in New York. 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· 32nd of 51
$302
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.