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 $208.93 Median $208.93 Typical High $1,148.15 | Facility | None | $208.93 | $208.93 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $144.54 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $478.63 | Professional | None (both parts) | $93.33 | $109.65 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $478.63 Median $6,456.54 Typical High $15,135.61 | Facility | None | $478.63 | $6,456.54 | $15,135.61 |
CareSource Setting Professional Modifier None (both parts) Typical Low $524.81 Median $676.08 Typical High $8,912.51 | Professional | None (both parts) | $524.81 | $676.08 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $1,148.15 | Facility | None | $371.54 | $707.95 | $1,148.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $524.81 Typical High $741.31 | Facility | TC · Technical part | $112.20 | $524.81 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None (both parts) | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | TC · Technical part | $2,344.23 | $2,344.23 | $2,344.23 |
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 $123.03 Median $123.03 Typical High $331.13 | Professional | None (both parts) | $123.03 | $123.03 | $331.13 |
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 $363.08 Median $389.05 Typical High $478.63 | Professional | 26 · Professional part | $363.08 | $389.05 | $478.63 |
Where Kentucky sits
The same service costs 19.5 times more in Texas 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.
Kentucky· 51st of 51
$123
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.