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 $537.03 Median $562.34 Typical High $660.69 | Facility | None | $537.03 | $562.34 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $501.19 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $141.25 | Professional | 26 · Professional part | $109.65 | $120.23 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $436.52 Typical High $512.86 | Professional | TC · Technical part | $389.05 | $436.52 | $512.86 |
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 $380.19 Median $446.68 Typical High $812.83 | Professional | None (both parts) | $380.19 | $446.68 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $186.21 | Professional | 26 · Professional part | $95.50 | $112.20 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $616.60 | Professional | TC · Technical part | $281.84 | $338.84 | $616.60 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $549.54 Median $645.65 Typical High $933.25 | Professional | None (both parts) | $549.54 | $645.65 | $933.25 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $194.98 | Professional | 26 · Professional part | $120.23 | $131.83 | $194.98 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $512.86 Typical High $724.44 | Professional | TC · Technical part | $436.52 | $512.86 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $2,951.21 | Facility | None | $1,288.25 | $1,318.26 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $478.63 | $616.60 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $251.19 | Professional | 26 · Professional part | $114.82 | $141.25 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $467.74 Typical High $776.25 | Professional | TC · Technical part | $363.08 | $467.74 | $776.25 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $3,019.95 | Facility | None | $562.34 | $1,122.02 | $3,019.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,479.11 Typical High $3,548.13 | Professional | None (both parts) | $478.63 | $1,479.11 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $331.13 Typical High $741.31 | Professional | 26 · Professional part | $117.49 | $331.13 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $1,230.27 Typical High $2,754.23 | Professional | TC · Technical part | $354.81 | $1,230.27 | $2,754.23 |
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 $436.52 Median $602.56 Typical High $1,288.25 | Professional | None (both parts) | $436.52 | $602.56 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $302.00 | Professional | 26 · Professional part | $109.65 | $141.25 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $467.74 Typical High $977.24 | Professional | TC · Technical part | $323.59 | $467.74 | $977.24 |
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 $251.19 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $251.19 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $102.33 | $112.20 | $131.83 |
Where Missouri sits
The same service costs 3.1 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· 32nd of 51
$550
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.