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 $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 $134.90 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $134.90 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $25.70 | $28.18 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $154.88 | Professional | TC · Technical part | $109.65 | $131.83 | $154.88 |
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 $89.13 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $89.13 | $120.23 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $38.02 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $79.43 Typical High $158.49 | Professional | TC · Technical part | $46.77 | $79.43 | $158.49 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $131.83 | $147.91 | $213.80 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $29.51 | $42.66 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $117.49 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $436.52 Typical High $851.14 | Facility | None | $323.59 | $436.52 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $120.23 | $162.18 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $32.36 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $93.33 | $131.83 | $229.09 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $281.84 Typical High $933.25 | Facility | None | $141.25 | $281.84 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $134.90 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $27.54 | $602.56 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $112.20 | $851.14 | $851.14 |
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 $123.03 Median $165.96 Typical High $338.84 | Professional | None (both parts) | $123.03 | $165.96 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $32.36 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $134.90 | $281.84 |
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 $67.61 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $67.61 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $37.15 | Professional | 53 · Discontinued | $26.92 | $31.62 | $37.15 |
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
$145
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.