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 $109.65 Median $109.65 Typical High $134.90 | Facility | None | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $100.00 | $109.65 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $208.93 | $281.84 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $134.90 Median $1,819.70 Typical High $4,265.80 | Facility | None | $134.90 | $1,819.70 | $4,265.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $2,511.89 | Professional | None (both parts) | $147.91 | $186.21 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $194.98 Typical High $316.23 | Facility | None | $104.71 | $194.98 | $316.23 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $144.54 Typical High $208.93 | Facility | TC · Technical part | $30.90 | $144.54 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
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 $57.54 Median $81.28 Typical High $213.80 | Professional | None (both parts) | $57.54 | $81.28 | $213.80 |
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 $100.00 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $100.00 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $54.95 Typical High $67.61 | Professional | 52 · Reduced service | $50.12 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $26.92 | Professional | 53 · Discontinued | $19.95 | $21.88 | $26.92 |
Where Kentucky sits
The same service costs 11.7 times more in Texas 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· 7th of 51
$240
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.