How much rates vary
Facilitymedian $209 · 10th to 90th $78 to $1,380Professionalmedian $219 · 10th to 90th $148 to $331
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $204.17 Median $245.47 Typical High $3,801.89 | Facility | None | $204.17 | $245.47 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $194.98 | $218.78 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $74.13 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $123.03 | $144.54 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $9,549.93 Typical High $11,220.18 | Facility | None | $758.58 | $9,549.93 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $147.91 | $218.78 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $85.11 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $131.83 | $199.53 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $154.88 Typical High $213.80 | Facility | None | $70.79 | $154.88 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $67.61 | $93.33 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $144.54 Typical High $398.11 | Facility | None | $34.67 | $144.54 | $398.11 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $95.50 Typical High $134.90 | Facility | 26 · Professional part | $20.42 | $95.50 | $134.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $141.25 Typical High $199.53 | Facility | TC · Technical part | $30.20 | $141.25 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $1,698.24 | Professional | None (both parts) | $204.17 | $281.84 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $114.82 Typical High $489.78 | Professional | 26 · Professional part | $72.44 | $114.82 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $186.21 Typical High $588.84 | Professional | TC · Technical part | $128.82 | $186.21 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $70.79 Median $186.21 Typical High $1,148.15 | Facility | None | $70.79 | $186.21 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $199.53 | $281.84 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $104.71 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $177.83 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $177.83 | $245.47 |
2 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 52 · Reduced service Typical Low $97.72 Median $109.65 Typical High $151.36 | Professional | 52 · Reduced service | $97.72 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $60.26 | Professional | 53 · Discontinued | $38.90 | $43.65 | $60.26 |
Where Kentucky sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 43rd of 51
$219
WI $708UT $135
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.