How much rates vary
Facilitymedian $380 · 10th to 90th $145 to $1,479Professionalmedian $151 · 10th to 90th $98 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 $169.82 Median $169.82 Typical High $199.53 | Facility | None | $169.82 | $169.82 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $199.53 | Professional | None (both parts) | $144.54 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $27.54 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $117.49 | $144.54 | $165.96 |
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 $93.33 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $93.33 | $120.23 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $37.15 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $46.77 | $79.43 | $162.18 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $158.49 | $186.21 | $269.15 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $30.20 | $44.67 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $131.83 | $154.88 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $758.58 | Facility | None | $323.59 | $398.11 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $123.03 | $181.97 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $32.36 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $154.88 | $263.03 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $354.81 Typical High $933.25 | Facility | None | $144.54 | $354.81 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $134.90 | $954.99 | $954.99 |
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 $794.33 Typical High $794.33 | Professional | TC · Technical part | $112.20 | $794.33 | $794.33 |
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 $302.00 | Professional | TC · Technical part | $97.72 | $134.90 | $302.00 |
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 $72.44 Median $85.11 Typical High $100.00 | Professional | 52 · Reduced service | $72.44 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $39.81 | Professional | 53 · Discontinued | $28.84 | $33.88 | $39.81 |
Where Missouri sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$151
AK $324KY $115
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.