How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $141.25 Median $147.91 Typical High $173.78 | Facility | None | $141.25 | $147.91 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $131.83 | $141.25 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $181.97 | Facility | None | $109.65 | $173.78 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $173.78 | Professional | None (both parts) | $58.88 | $69.18 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $2,344.23 Typical High $5,495.41 | Facility | None | $173.78 | $2,344.23 | $5,495.41 |
CareSource Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $3,235.94 | Professional | None (both parts) | $190.55 | $245.47 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $257.04 Typical High $416.87 | Facility | None | $134.90 | $257.04 | $416.87 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $190.55 Typical High $269.15 | Facility | TC · Technical part | $40.74 | $190.55 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $851.14 | $851.14 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $281.84 | Professional | None (both parts) | $75.86 | $104.71 | $281.84 |
3 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 26 · Professional part Typical Low $131.83 Median $141.25 Typical High $173.78 | Professional | 26 · Professional part | $131.83 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $70.79 Typical High $87.10 | Professional | 52 · Reduced service | $66.07 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $34.67 | Professional | 53 · Discontinued | $26.30 | $28.18 | $34.67 |
Where Kentucky sits
The same service costs 3.7 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.
Kentucky· 42nd of 51
$126
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.