How much rates vary
Facilitymedian $977 · 10th to 90th $372 to $1,698Professionalmedian $363 · 10th to 90th $245 to $933
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 $354.81 Median $371.54 Typical High $436.52 | Facility | None | $354.81 | $371.54 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $371.54 Typical High $436.52 | Professional | None (both parts) | $331.13 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $42.66 | $46.77 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $380.19 | Professional | TC · Technical part | $281.84 | $331.13 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
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 $239.88 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $239.88 | $288.40 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $42.66 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $446.68 | Professional | TC · Technical part | $204.17 | $245.47 | $446.68 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $371.54 | $436.52 | $630.96 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $45.71 | $50.12 | $74.13 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $331.13 | $380.19 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,584.89 | Facility | None | $977.24 | $977.24 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $323.59 | $407.38 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $53.70 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $281.84 | $346.74 | $602.56 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $741.31 Typical High $1,698.24 | Facility | None | $363.08 | $741.31 | $1,698.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,000.00 Typical High $2,344.23 | Professional | None (both parts) | $302.00 | $1,000.00 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $128.82 Typical High $281.84 | Professional | 26 · Professional part | $44.67 | $128.82 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $912.01 Typical High $2,041.74 | Professional | TC · Technical part | $257.04 | $912.01 | $2,041.74 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,691.53 | $2,691.53 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $851.14 | Professional | None (both parts) | $275.42 | $398.11 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $54.95 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $239.88 | $346.74 | $741.31 |
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 $169.82 Median $186.21 Typical High $218.78 | Professional | 52 · Reduced service | $169.82 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $74.13 Typical High $87.10 | Professional | 53 · Discontinued | $67.61 | $74.13 | $87.10 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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
$372
AK $813NM $275
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.