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 $218.78 Typical High $263.03 | Facility | None | $208.93 | $218.78 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $194.98 | $208.93 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $263.03 | Professional | None (both parts) | $57.54 | $57.54 | $263.03 |
CareSource Setting Facility Modifier None Typical Low $263.03 Median $3,467.37 Typical High $5,888.44 | Facility | None | $263.03 | $3,467.37 | $5,888.44 |
CareSource Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $4,786.30 | Professional | None (both parts) | $288.40 | $363.08 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $380.19 Typical High $616.60 | Facility | None | $204.17 | $380.19 | $616.60 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $281.84 Typical High $407.38 | Facility | TC · Technical part | $60.26 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,258.93 |
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 $112.20 Median $154.88 Typical High $416.87 | Professional | None (both parts) | $112.20 | $154.88 | $416.87 |
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 $194.98 Median $208.93 Typical High $263.03 | Professional | 26 · Professional part | $194.98 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $104.71 Typical High $128.82 | Professional | 52 · Reduced service | $97.72 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $42.66 Typical High $52.48 | Professional | 53 · Discontinued | $38.90 | $42.66 | $52.48 |
Where Kentucky sits
The same service costs 5.4 times more in Alaska 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· 48th of 51
$155
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.