How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,318 to $4,365Professionalmedian $1,096 · 10th to 90th $912 to $2,570
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 $1,148.15 Median $1,318.26 Typical High $2,187.76 | Facility | None | $1,148.15 | $1,318.26 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,148.15 Typical High $1,318.26 | Professional | None (both parts) | $912.01 | $1,148.15 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $169.82 | Professional | 26 · Professional part | $117.49 | $151.36 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,000.00 Typical High $1,148.15 | Professional | TC · Technical part | $812.83 | $1,000.00 | $1,148.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | None (both parts) | $851.14 | $851.14 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $2,630.27 Typical High $4,073.80 | Facility | None | $1,479.11 | $2,630.27 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,023.29 Typical High $1,513.56 | Professional | None (both parts) | $891.25 | $1,023.29 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $117.49 | $134.90 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $912.01 Typical High $1,318.26 | Professional | TC · Technical part | $776.25 | $912.01 | $1,318.26 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,096.48 Typical High $1,621.81 | Professional | None (both parts) | $977.24 | $1,096.48 | $1,621.81 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $125.89 | $138.04 | $199.53 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $954.99 Typical High $1,412.54 | Professional | TC · Technical part | $851.14 | $954.99 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $3,090.30 Typical High $3,090.30 | Facility | None | $1,288.25 | $3,090.30 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,148.15 Typical High $1,995.26 | Professional | None (both parts) | $851.14 | $1,148.15 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $151.36 Typical High $269.15 | Professional | 26 · Professional part | $123.03 | $151.36 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,000.00 Typical High $1,737.80 | Professional | TC · Technical part | $724.44 | $1,000.00 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $4,365.16 | Facility | None | $977.24 | $1,949.84 | $4,365.16 |
Medica Setting Professional Modifier None (both parts) Typical Low $977.24 Median $2,570.40 Typical High $6,025.60 | Professional | None (both parts) | $977.24 | $2,570.40 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $354.81 Typical High $776.25 | Professional | 26 · Professional part | $125.89 | $354.81 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $2,344.23 Typical High $5,248.07 | Professional | TC · Technical part | $851.14 | $2,344.23 | $5,248.07 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,691.53 | $2,691.53 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,096.48 Typical High $2,238.72 | Professional | None (both parts) | $870.96 | $1,096.48 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $316.23 | Professional | 26 · Professional part | $120.23 | $147.91 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $954.99 Typical High $1,905.46 | Professional | TC · Technical part | $758.58 | $954.99 | $1,905.46 |
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 $457.09 Median $575.44 Typical High $660.69 | Professional | 52 · Reduced service | $457.09 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $229.09 Typical High $263.03 | Professional | 53 · Discontinued | $181.97 | $229.09 | $263.03 |
Where Missouri sits
The same service costs 2.9 times more in Alaska 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· 29th of 51
$1,096
AK $2,138TX $741
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.