How much rates vary
Facilitymedian $31 · 10th to 90th $15 to $55Professionalmedian $30 · 10th to 90th $21 to $52
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 $28.18 Median $30.90 Typical High $44.67 | Facility | None | $28.18 | $30.90 | $44.67 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $10.23 Typical High $14.13 | Facility | 26 · Professional part | $9.33 | $10.23 | $14.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $20.89 Typical High $33.11 | Facility | TC · Technical part | $19.05 | $20.89 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $56.23 | Professional | None (both parts) | $27.54 | $30.90 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $9.33 | $10.23 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $20.89 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $38.90 Typical High $45.71 | Professional | None (both parts) | $21.88 | $38.90 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $7.76 | $12.30 | $12.30 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.91 Typical High $28.84 | Professional | TC · Technical part | $17.38 | $22.91 | $28.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $37.15 | Professional | None (both parts) | $23.99 | $28.18 | $37.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $15.49 | Professional | 26 · Professional part | $9.12 | $10.47 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.38 Typical High $24.55 | Professional | TC · Technical part | $14.79 | $17.38 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $22.91 Typical High $39.81 | Facility | None | $9.77 | $22.91 | $39.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.77 Median $21.88 Typical High $38.02 | Professional | None (both parts) | $9.77 | $21.88 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $169.82 | Facility | None | $52.48 | $52.48 | $169.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.51 Median $12.02 Typical High $16.98 | Facility | 26 · Professional part | $2.51 | $12.02 | $16.98 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.37 Median $25.12 Typical High $35.48 | Facility | TC · Technical part | $5.37 | $25.12 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $158.49 | Professional | None (both parts) | $29.51 | $42.66 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.14 Typical High $47.86 | Professional | 26 · Professional part | $10.00 | $15.14 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $112.20 | Professional | TC · Technical part | $19.05 | $27.54 | $112.20 |
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 Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $27.54 | $30.90 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $16.98 | Professional | 26 · Professional part | $10.23 | $11.48 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.05 Typical High $30.90 | Professional | TC · Technical part | $17.38 | $19.05 | $30.90 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | GC · Resident with teaching physician | $38.02 | $38.02 | $38.02 |
Where Kentucky sits
The same service costs 17.0 times more in Vermont than in Florida. 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· 49th of 51
$30.20
VT $447FL $26.30
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.