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 $691.83 Median $691.83 Typical High $812.83 | Facility | None | $691.83 | $691.83 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $691.83 Typical High $812.83 | Professional | None (both parts) | $575.44 | $691.83 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $229.09 Typical High $269.15 | Professional | 26 · Professional part | $213.80 | $229.09 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $537.03 | Professional | TC · Technical part | $354.81 | $457.09 | $537.03 |
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 $363.08 Median $537.03 Typical High $831.76 | Professional | None (both parts) | $363.08 | $537.03 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $309.03 Typical High $436.52 | Professional | 26 · Professional part | $239.88 | $309.03 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $251.19 Typical High $537.03 | Professional | TC · Technical part | $109.65 | $251.19 | $537.03 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $707.95 Median $812.83 Typical High $1,230.27 | Professional | None (both parts) | $707.95 | $812.83 | $1,230.27 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $251.19 Typical High $371.54 | Professional | 26 · Professional part | $223.87 | $251.19 | $371.54 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $562.34 Typical High $831.76 | Professional | TC · Technical part | $416.87 | $562.34 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $2,951.21 | Facility | None | $831.76 | $831.76 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $707.95 Typical High $1,174.90 | Professional | None (both parts) | $537.03 | $707.95 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $269.15 Typical High $457.09 | Professional | 26 · Professional part | $218.78 | $269.15 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $478.63 Typical High $741.31 | Professional | TC · Technical part | $275.42 | $478.63 | $741.31 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,445.44 Typical High $3,235.94 | Facility | None | $489.78 | $1,445.44 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $489.78 Median $3,981.07 Typical High $3,981.07 | Professional | None (both parts) | $489.78 | $3,981.07 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $1,412.54 Typical High $1,412.54 | Professional | 26 · Professional part | $223.87 | $1,412.54 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $288.40 | $2,570.40 | $2,570.40 |
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 $467.74 Median $676.08 Typical High $1,479.11 | Professional | None (both parts) | $467.74 | $676.08 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $269.15 Typical High $562.34 | Professional | 26 · Professional part | $204.17 | $269.15 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $407.38 Typical High $977.24 | Professional | TC · Technical part | $263.03 | $407.38 | $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 $288.40 Median $346.74 Typical High $407.38 | Professional | 52 · Reduced service | $288.40 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $138.04 Typical High $162.18 | Professional | 53 · Discontinued | $114.82 | $138.04 | $162.18 |
Where Missouri sits
The same service costs 3.2 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
$589
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.