How much rates vary
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 $331.13 Median $436.52 Typical High $812.83 | Facility | None | $331.13 | $436.52 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $416.87 | Professional | None (both parts) | $323.59 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $53.70 | $57.54 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $295.12 Typical High $346.74 | Professional | TC · Technical part | $269.15 | $295.12 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $77.62 | $89.13 | $89.13 |
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 $169.82 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $169.82 | $275.42 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $75.86 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $79.43 | $223.87 | $363.08 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $371.54 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $371.54 | $416.87 | $616.60 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $66.07 | $95.50 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $354.81 Typical High $512.86 | Professional | TC · Technical part | $309.03 | $354.81 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $912.01 Typical High $912.01 | Facility | None | $323.59 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $288.40 | $371.54 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $67.61 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $588.84 | Professional | TC · Technical part | $239.88 | $295.12 | $588.84 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $691.83 Typical High $1,584.89 | Facility | None | $288.40 | $691.83 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $2,238.72 Typical High $2,238.72 | Professional | None (both parts) | $331.13 | $2,238.72 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $776.25 Typical High $776.25 | Professional | 26 · Professional part | $56.23 | $776.25 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $275.42 | $1,862.09 | $1,862.09 |
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 $302.00 Median $380.19 Typical High $794.33 | Professional | None (both parts) | $302.00 | $380.19 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $144.54 | Professional | 26 · Professional part | $51.29 | $67.61 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $660.69 | Professional | TC · Technical part | $251.19 | $316.23 | $660.69 |
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 $162.18 Median $177.83 Typical High $208.93 | Professional | 52 · Reduced service | $162.18 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $83.18 | Professional | 53 · Discontinued | $64.57 | $70.79 | $83.18 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 39th of 51
$339
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.