How much rates vary
Facilitymedian $324 · 10th to 90th $162 to $832Professionalmedian $191 · 10th to 90th $135 to $417
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 $165.96 Median $165.96 Typical High $194.98 | Facility | None | $165.96 | $165.96 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $151.36 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $75.86 | $83.18 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $72.44 | $83.18 | $97.72 |
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 $128.82 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $128.82 | $169.82 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $114.82 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $58.88 Typical High $109.65 | Professional | TC · Technical part | $31.62 | $58.88 | $109.65 |
BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $158.49 | $181.97 | $263.03 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $83.18 | $91.20 | $134.90 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $87.10 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $354.81 | Facility | None | $181.97 | $181.97 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $147.91 | $177.83 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $97.72 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $64.57 | $83.18 | $165.96 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $323.59 Typical High $691.83 | Facility | None | $154.88 | $323.59 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $144.54 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $81.28 | $512.86 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $61.66 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $131.83 | $199.53 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $204.17 | Professional | 26 · Professional part | $74.13 | $97.72 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $56.23 | $102.33 | $208.93 |
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 $75.86 Median $83.18 Typical High $97.72 | Professional | 52 · Reduced service | $75.86 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.11 Typical High $38.90 | Professional | 53 · Discontinued | $30.20 | $33.11 | $38.90 |
Where Missouri sits
The same service costs 3.9 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· 21st of 51
$191
AK $398TX $102
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.