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 $12.02 Median $12.59 Typical High $14.79 | Facility | None | $12.02 | $12.59 | $14.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $12.02 Typical High $14.79 | Professional | None (both parts) | $11.22 | $12.02 | $14.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.89 Median $6.61 Typical High $14.79 | Professional | None (both parts) | $5.89 | $6.61 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $199.53 Typical High $467.74 | Facility | None | $14.79 | $199.53 | $467.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.22 Median $20.89 Typical High $275.42 | Professional | None (both parts) | $16.22 | $20.89 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $21.88 Typical High $34.67 | Facility | None | $11.48 | $21.88 | $34.67 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $3.39 Median $15.85 Typical High $22.91 | Facility | TC · Technical part | $3.39 | $15.85 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $70.79 | $70.79 | $70.79 |
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 $6.46 Median $8.91 Typical High $23.99 | Professional | None (both parts) | $6.46 | $8.91 | $23.99 |
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 $11.22 Median $12.02 Typical High $14.79 | Professional | 26 · Professional part | $11.22 | $12.02 | $14.79 |
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· 34th of 51
$11.48
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.