How much rates vary
Facilitymedian $209 · 10th to 90th $100 to $1,660Professionalmedian $100 · 10th to 90th $83 to $275
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 $100.00 Median $100.00 Typical High $117.49 | Facility | None | $100.00 | $100.00 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $91.20 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $37.15 | $39.81 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $56.23 | $61.66 | $70.79 |
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 $75.86 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $75.86 | $97.72 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $54.95 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $41.69 | $57.54 | $95.50 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $100.00 | Professional | None (both parts) | $77.62 | $83.18 | $100.00 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $43.65 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $1,584.89 | Facility | None | $208.93 | $208.93 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $91.20 | $114.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $46.77 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $69.18 | $120.23 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $194.98 Typical High $1,584.89 | Facility | None | $95.50 | $194.98 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $389.05 Typical High $1,548.82 | Professional | None (both parts) | $95.50 | $389.05 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $39.81 | $257.04 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $316.23 Typical High $1,513.56 | Professional | TC · Technical part | $58.88 | $316.23 | $1,513.56 |
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 $89.13 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $89.13 | $141.25 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $36.31 | $46.77 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $204.17 | Professional | TC · Technical part | $53.70 | $83.18 | $204.17 |
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 $45.71 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $45.71 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $18.62 | $20.42 | $23.44 |
Where Missouri sits
The same service costs 5.4 times more in Hawaii 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· 36th of 51
$100
HI $309KY $57.54
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.