How much rates vary
Facilitymedian $525 · 10th to 90th $257 to $1,585Professionalmedian $269 · 10th to 90th $234 to $646
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 $234.42 Median $257.04 Typical High $549.54 | Facility | None | $234.42 | $257.04 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $234.42 | $257.04 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $162.18 Typical High $194.98 | Professional | 26 · Professional part | $147.91 | $162.18 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $85.11 | $95.50 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $380.19 | Professional | None (both parts) | $229.09 | $354.81 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $204.17 | $239.88 | $239.88 |
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 $218.78 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $218.78 | $257.04 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $154.88 Typical High $245.47 | Professional | 26 · Professional part | $141.25 | $154.88 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $87.10 | $102.33 | $147.91 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $257.04 | $281.84 | $416.87 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $177.83 Typical High $263.03 | Professional | 26 · Professional part | $158.49 | $177.83 | $263.03 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $91.20 | $104.71 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $1,584.89 | Facility | None | $354.81 | $354.81 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $239.88 | $302.00 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $190.55 Typical High $338.84 | Professional | 26 · Professional part | $154.88 | $190.55 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $117.49 | $194.98 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $524.81 Typical High $1,412.54 | Facility | None | $257.04 | $524.81 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $707.95 Typical High $1,584.89 | Professional | None (both parts) | $251.19 | $707.95 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $446.68 Typical High $977.24 | Professional | 26 · Professional part | $158.49 | $446.68 | $977.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $263.03 Typical High $616.60 | Professional | TC · Technical part | $100.00 | $263.03 | $616.60 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
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 $245.47 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $245.47 | $302.00 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $190.55 Typical High $398.11 | Professional | 26 · Professional part | $147.91 | $190.55 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $93.33 | $117.49 | $239.88 |
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 $117.49 Median $128.82 Typical High $151.36 | Professional | 52 · Reduced service | $117.49 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $51.29 | $60.26 |
Where Missouri sits
The same service costs 3.3 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· 35th of 51
$269
AK $589TX $178
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.