How much rates vary
Facilitymedian $1,413 · 10th to 90th $263 to $2,884Professionalmedian $219 · 10th to 90th $166 to $437
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 $213.80 Median $416.87 Typical High $3,801.89 | Facility | None | $213.80 | $416.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $501.19 | Professional | None (both parts) | $269.15 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $85.11 | $95.50 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $371.54 | Professional | TC · Technical part | $186.21 | $323.59 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $3,019.95 | Facility | None | $1,071.52 | $2,041.74 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $165.96 | $218.78 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $83.18 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $114.82 | $177.83 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $263.03 Typical High $407.38 | Facility | None | $79.43 | $263.03 | $407.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $85.11 | $109.65 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,318.26 | Facility | None | $645.65 | $645.65 | $1,318.26 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $114.82 Typical High $162.18 | Facility | 26 · Professional part | $24.55 | $114.82 | $162.18 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $338.84 Typical High $489.78 | Facility | TC · Technical part | $74.13 | $338.84 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $1,905.46 | Professional | None (both parts) | $251.19 | $389.05 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $489.78 | Professional | 26 · Professional part | $87.10 | $125.89 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $302.00 Typical High $1,445.44 | Professional | TC · Technical part | $162.18 | $302.00 | $1,445.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $33.11 | $33.11 | $50.12 |
United Setting Facility Modifier None Typical Low $50.12 Median $416.87 Typical High $1,949.84 | Facility | None | $50.12 | $416.87 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $204.17 | $302.00 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $107.15 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $144.54 | $194.98 | $457.09 |
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 $162.18 Median $204.17 Typical High $251.19 | Professional | 52 · Reduced service | $162.18 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $81.28 Typical High $100.00 | Professional | 53 · Discontinued | $66.07 | $81.28 | $100.00 |
Where Kentucky sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 51st of 51
$219
AK $1,413KY $219
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.