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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $79.43 | Professional | TC · Technical part | $63.10 | $77.62 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $436.52 | Professional | None (both parts) | $309.03 | $426.58 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $72.44 | $199.53 | $269.15 |
CareSource Setting Facility Modifier None Typical Low $70,794.58 Median $70,794.58 Typical High $70,794.58 | Facility | None | $70,794.58 | $70,794.58 | $70,794.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $74,131.02 Median $74,131.02 Typical High $74,131.02 | Professional | None (both parts) | $74,131.02 | $74,131.02 | $74,131.02 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $213.80 Typical High $660.69 | Facility | None | $117.49 | $213.80 | $660.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $363.08 | Professional | 26 · Professional part | $74.13 | $89.13 | $363.08 |
Where Kentucky sits
The same service costs 61.7 times more in Delaware than in California. 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· 14th of 51
$427
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.