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 $13.80 Median $14.45 Typical High $17.38 | Facility | None | $13.80 | $14.45 | $17.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $13.80 Typical High $17.38 | Professional | None (both parts) | $12.88 | $13.80 | $17.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.92 Median $7.59 Typical High $17.38 | Professional | None (both parts) | $6.92 | $7.59 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $229.09 Typical High $537.03 | Facility | None | $17.38 | $229.09 | $537.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.05 Median $23.99 Typical High $316.23 | Professional | None (both parts) | $19.05 | $23.99 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $25.12 Typical High $40.74 | Facility | None | $13.49 | $25.12 | $40.74 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $4.07 Median $18.62 Typical High $26.92 | Facility | TC · Technical part | $4.07 | $18.62 | $26.92 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
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 $7.41 Median $10.23 Typical High $27.54 | Professional | None (both parts) | $7.41 | $10.23 | $27.54 |
1 more rate 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 $12.88 Median $13.80 Typical High $17.38 | Professional | 26 · Professional part | $12.88 | $13.80 | $17.38 |
Where Kentucky sits
The same service costs 11.2 times more in Texas than in Georgia. 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· 31st of 51
$13.80
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.