How much rates vary
Facilitymedian $41 · 10th to 90th $19 to $170Professionalmedian $20 · 10th to 90th $10 to $60
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 $16.98 Median $18.62 Typical High $20.89 | Facility | None | $16.98 | $18.62 | $20.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $18.62 Typical High $24.55 | Professional | None (both parts) | $16.98 | $18.62 | $24.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $9.77 | Professional | 26 · Professional part | $7.94 | $8.71 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $9.77 Typical High $14.79 | Professional | TC · Technical part | $9.12 | $9.77 | $14.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.00 Median $17.38 Typical High $22.91 | Professional | None (both parts) | $10.00 | $17.38 | $22.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $7.24 | $8.51 | $11.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $12.59 Typical High $14.45 | Professional | TC · Technical part | $8.51 | $12.59 | $14.45 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.95 Typical High $30.20 | Professional | None (both parts) | $19.05 | $19.95 | $30.20 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $8.51 | $12.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $11.48 Typical High $17.78 | Professional | TC · Technical part | $10.72 | $11.48 | $17.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $40.74 Typical High $169.82 | Facility | None | $18.62 | $40.74 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $18.62 Median $50.12 Typical High $114.82 | Professional | None (both parts) | $18.62 | $50.12 | $114.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $26.30 Typical High $114.82 | Professional | 26 · Professional part | $8.13 | $26.30 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $32.36 Typical High $70.79 | Professional | TC · Technical part | $10.47 | $32.36 | $70.79 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $23.44 Typical High $45.71 | Professional | None (both parts) | $17.38 | $23.44 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $21.38 | Professional | 26 · Professional part | $7.76 | $10.72 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $12.59 Typical High $24.55 | Professional | TC · Technical part | $9.33 | $12.59 | $24.55 |
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 $8.51 Median $9.33 Typical High $12.02 | Professional | 52 · Reduced service | $8.51 | $9.33 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.72 Typical High $4.79 | Professional | 53 · Discontinued | $3.39 | $3.72 | $4.79 |
Where Missouri sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 33rd of 51
$20.42
WI $39.81NC $17.38
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.