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 $616.60 Median $645.65 Typical High $758.58 | Facility | None | $616.60 | $645.65 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $616.60 Typical High $758.58 | Professional | None (both parts) | $575.44 | $616.60 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $144.54 | $169.82 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $10,232.93 Typical High $23,988.33 | Facility | None | $758.58 | $10,232.93 | $23,988.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,071.52 Typical High $14,125.38 | Professional | None (both parts) | $831.76 | $1,071.52 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $1,778.28 | Facility | None | $588.84 | $1,122.02 | $1,778.28 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $831.76 Typical High $1,174.90 | Facility | TC · Technical part | $177.83 | $831.76 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | TC · Technical part | $3,630.78 | $3,630.78 | $3,630.78 |
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 $331.13 Median $457.09 Typical High $1,230.27 | Professional | None (both parts) | $331.13 | $457.09 | $1,230.27 |
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 $575.44 Median $616.60 Typical High $758.58 | Professional | 26 · Professional part | $575.44 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $309.03 Typical High $380.19 | Professional | 52 · Reduced service | $281.84 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $114.82 | $123.03 | $151.36 |
Where Kentucky sits
The same service costs 12.0 times more in Texas than in Ohio. 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· 47th of 51
$457
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.