How much rates vary
Facilitymedian $339 · 10th to 90th $68 to $1,479Professionalmedian $89 · 10th to 90th $65 to $234
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 $63.10 Median $67.61 Typical High $79.43 | Facility | None | $63.10 | $67.61 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $63.10 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $22.39 | Professional | 26 · Professional part | $17.38 | $19.05 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $48.98 Typical High $87.10 | Professional | TC · Technical part | $45.71 | $48.98 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
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 $67.61 Median $87.10 Typical High $134.90 | Professional | None (both parts) | $67.61 | $87.10 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $52.48 | Professional | 26 · Professional part | $19.50 | $26.30 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $47.86 | $79.43 | $117.49 |
BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $66.07 | $77.62 | $128.82 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.42 Typical High $29.51 | Professional | 26 · Professional part | $18.20 | $20.42 | $29.51 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $56.23 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $758.58 | Facility | None | $323.59 | $407.38 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $229.09 | Professional | None (both parts) | $63.10 | $83.18 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $37.15 | Professional | 26 · Professional part | $17.78 | $21.88 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $204.17 | Professional | TC · Technical part | $44.67 | $60.26 | $204.17 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $151.36 Typical High $933.25 | Facility | None | $67.61 | $151.36 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $74.13 | $812.83 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $18.62 | $416.87 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $52.48 | $562.34 | $562.34 |
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 $64.57 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $64.57 | $95.50 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $47.86 | Professional | 26 · Professional part | $16.98 | $21.88 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $134.90 | Professional | TC · Technical part | $46.77 | $70.79 | $134.90 |
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 $31.62 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $31.62 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.80 Typical High $15.85 | Professional | 53 · Discontinued | $12.88 | $13.80 | $15.85 |
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· 26th of 51
$89.13
AK $162TX $51.29
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.