How much rates vary
Facilitymedian $50 · 10th to 90th $25 to $832Professionalmedian $46 · 10th to 90th $35 to $66
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 $39.81 Median $44.67 Typical High $72.44 | Facility | None | $39.81 | $44.67 | $72.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $43.65 | Facility | 26 · Professional part | $24.55 | $27.54 | $43.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $9.77 Median $17.78 Typical High $29.51 | Facility | TC · Technical part | $9.77 | $17.78 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $38.02 | $44.67 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $27.54 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $28.84 | Professional | TC · Technical part | $14.13 | $17.78 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $46.77 | $50.12 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $31.62 | $39.81 | $39.81 |
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 $38.02 Median $44.67 Typical High $61.66 | Professional | None (both parts) | $38.02 | $44.67 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $31.62 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $13.18 Typical High $21.38 | Professional | TC · Technical part | $11.22 | $13.18 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $30.90 Typical High $60.26 | Facility | None | $17.78 | $30.90 | $60.26 |
CareSource Setting Professional Modifier None (both parts) Typical Low $17.38 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $17.38 | $28.84 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $87.10 | Facility | None | $22.91 | $34.67 | $87.10 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $36.31 Typical High $51.29 | Facility | 26 · Professional part | $7.76 | $36.31 | $51.29 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.13 Median $23.99 Typical High $34.67 | Facility | TC · Technical part | $5.13 | $23.99 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $245.47 | Professional | None (both parts) | $45.71 | $64.57 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $194.98 | Professional | 26 · Professional part | $27.54 | $41.69 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $102.33 | Professional | TC · Technical part | $15.85 | $23.44 | $102.33 |
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 $39.81 Median $50.12 Typical High $85.11 | Professional | None (both parts) | $39.81 | $50.12 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $32.36 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $16.98 Typical High $32.36 | Professional | TC · Technical part | $12.30 | $16.98 | $32.36 |
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 $18.20 Median $19.95 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.13 Typical High $9.33 | Professional | 53 · Discontinued | $7.24 | $8.13 | $9.33 |
Where Kentucky sits
The same service costs 6.5 times more in Minnesota 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
$45.71
MN $295KY $45.71
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.