How much rates vary
Facilitymedian $372 · 10th to 90th $56 to $646Professionalmedian $417 · 10th to 90th $316 to $759
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 $338.84 Median $371.54 Typical High $524.81 | Facility | None | $338.84 | $371.54 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $338.84 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $36.31 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $309.03 | $331.13 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $316.23 | $398.11 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $45.71 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $645.65 | Professional | TC · Technical part | $275.42 | $354.81 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $354.81 Typical High $794.33 | Facility | None | $35.48 | $354.81 | $794.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $38.02 | $48.98 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $50.12 Typical High $75.86 | Facility | 26 · Professional part | $12.59 | $50.12 | $75.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $407.38 Typical High $575.44 | Facility | TC · Technical part | $87.10 | $407.38 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $812.83 Typical High $2,089.30 | Professional | None (both parts) | $363.08 | $812.83 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $74.13 Typical High $199.53 | Professional | 26 · Professional part | $35.48 | $74.13 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $741.31 Typical High $1,778.28 | Professional | TC · Technical part | $331.13 | $741.31 | $1,778.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $436.52 | Professional | None (both parts) | $33.11 | $33.11 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $407.38 | $501.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $42.66 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $457.09 Typical High $645.65 | Professional | TC · Technical part | $371.54 | $457.09 | $645.65 |
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 $169.82 Median $186.21 Typical High $257.04 | Professional | 52 · Reduced service | $169.82 | $186.21 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $74.13 Typical High $104.71 | Professional | 53 · Discontinued | $67.61 | $74.13 | $104.71 |
Where Kentucky sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 46th of 51
$407
WI $1,202OR $72.44
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.