How much rates vary
Facilitymedian $316 · 10th to 90th $158 to $1,479Professionalmedian $158 · 10th to 90th $126 to $389
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 $158.49 Median $158.49 Typical High $186.21 | Facility | None | $158.49 | $158.49 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $141.25 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $104.71 | Professional | 26 · Professional part | $81.28 | $89.13 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $60.26 | $67.61 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $141.25 | $141.25 | $218.78 |
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 $123.03 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $123.03 | $144.54 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $85.11 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $66.07 | $109.65 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $151.36 | $169.82 | $251.19 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $89.13 | $100.00 | $144.54 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $61.66 | $72.44 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $758.58 | Facility | None | $204.17 | $204.17 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $302.00 | Professional | None (both parts) | $141.25 | $177.83 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $104.71 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $56.23 | $72.44 | $117.49 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $933.25 | Facility | None | $158.49 | $316.23 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $436.52 Typical High $954.99 | Professional | None (both parts) | $144.54 | $436.52 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $251.19 Typical High $537.03 | Professional | 26 · Professional part | $87.10 | $251.19 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $186.21 Typical High $416.87 | Professional | TC · Technical part | $57.54 | $186.21 | $416.87 |
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 $138.04 Median $177.83 Typical High $371.54 | Professional | None (both parts) | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $104.71 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $72.44 | $147.91 |
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 $70.79 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $70.79 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $37.15 | Professional | 53 · Discontinued | $28.18 | $31.62 | $37.15 |
Where Missouri sits
The same service costs 3.6 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
$158
AK $380TX $105
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.