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 $1,819.70 Median $1,819.70 Typical High $2,137.96 | Facility | None | $1,819.70 | $1,819.70 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,819.70 Typical High $2,137.96 | Professional | None (both parts) | $1,659.59 | $1,819.70 | $2,137.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $338.84 Typical High $398.11 | Professional | 26 · Professional part | $316.23 | $338.84 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,479.11 Typical High $1,737.80 | Professional | TC · Technical part | $1,348.96 | $1,479.11 | $1,737.80 |
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 $380.19 Median $1,479.11 Typical High $2,398.83 | Professional | None (both parts) | $380.19 | $1,479.11 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $371.54 Typical High $512.86 | Professional | 26 · Professional part | $281.84 | $371.54 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,258.93 Typical High $2,137.96 | Professional | TC · Technical part | $1,023.29 | $1,258.93 | $2,137.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,137.96 Typical High $3,090.30 | Professional | None (both parts) | $1,862.09 | $2,137.96 | $3,090.30 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $380.19 Typical High $562.34 | Professional | 26 · Professional part | $338.84 | $380.19 | $562.34 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,778.28 Typical High $2,511.89 | Professional | TC · Technical part | $1,513.56 | $1,778.28 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,905.46 Typical High $3,630.78 | Professional | None (both parts) | $1,584.89 | $1,905.46 | $3,630.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $389.05 Typical High $660.69 | Professional | 26 · Professional part | $323.59 | $389.05 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,513.56 Typical High $2,951.21 | Professional | TC · Technical part | $1,230.27 | $1,513.56 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $2,691.53 Typical High $7,943.28 | Facility | None | $1,479.11 | $2,691.53 | $7,943.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $11,748.98 Typical High $11,748.98 | Professional | None (both parts) | $1,698.24 | $11,748.98 | $11,748.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $2,041.74 Typical High $2,041.74 | Professional | 26 · Professional part | $323.59 | $2,041.74 | $2,041.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $9,549.93 Typical High $9,549.93 | Professional | TC · Technical part | $1,380.38 | $9,549.93 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,137.96 Typical High $4,466.84 | Professional | None (both parts) | $1,548.82 | $2,137.96 | $4,466.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $398.11 Typical High $831.76 | Professional | 26 · Professional part | $295.12 | $398.11 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,737.80 Typical High $3,715.35 | Professional | TC · Technical part | $1,258.93 | $1,737.80 | $3,715.35 |
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 $831.76 Median $912.01 Typical High $1,071.52 | Professional | 52 · Reduced service | $831.76 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $363.08 Typical High $426.58 | Professional | 53 · Discontinued | $338.84 | $363.08 | $426.58 |
Where Missouri sits
The same service costs 3.2 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· 41st of 51
$1,738
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.