How much rates vary
Facilitymedian $724 · 10th to 90th $282 to $1,778Professionalmedian $347 · 10th to 90th $151 to $891
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 $398.11 Median $467.74 Typical High $660.69 | Facility | None | $398.11 | $467.74 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $489.78 | Professional | None (both parts) | $338.84 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $57.54 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $281.84 | $338.84 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $288.40 | $288.40 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $75.86 | $85.11 |
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 $151.36 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $151.36 | $281.84 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $60.26 | $72.44 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $173.78 | $251.19 | $446.68 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $645.65 | Professional | None (both parts) | $389.05 | $446.68 | $645.65 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $57.54 | $63.10 | $93.33 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $371.54 Typical High $549.54 | Professional | TC · Technical part | $331.13 | $371.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $831.76 Typical High $851.14 | Facility | None | $323.59 | $831.76 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $316.23 | $398.11 | $707.95 |
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 $251.19 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $251.19 | $338.84 | $602.56 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $645.65 Typical High $1,778.28 | Facility | None | $269.15 | $645.65 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $316.23 | $2,454.71 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $56.23 | $354.81 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $2,089.30 Typical High $2,089.30 | Professional | TC · Technical part | $275.42 | $2,089.30 | $2,089.30 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
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 $316.23 Median $416.87 Typical High $891.25 | Professional | None (both parts) | $316.23 | $416.87 | $891.25 |
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 $263.03 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $346.74 | $741.31 |
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 $177.83 Median $194.98 Typical High $229.09 | Professional | 52 · Reduced service | $177.83 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $91.20 | Professional | 53 · Discontinued | $70.79 | $79.43 | $91.20 |
Where Missouri sits
The same service costs 3.0 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· 41st of 51
$355
AK $794NM $269
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.