How much rates vary
Facilitymedian $269 · 10th to 90th $186 to $513Professionalmedian $263 · 10th to 90th $195 to $457
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 $269.15 Typical High $467.74 | Facility | None | $213.80 | $269.15 | $467.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $66.07 | Facility | 26 · Professional part | $33.11 | $36.31 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $398.11 | Facility | TC · Technical part | $165.96 | $234.42 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $245.47 | $281.84 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $36.31 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $245.47 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $37.15 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $204.17 | $239.88 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $42.66 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $162.18 | $194.98 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $229.09 Typical High $354.81 | Facility | None | $35.48 | $229.09 | $354.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $34.67 | $218.78 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $912.01 | Facility | None | $457.09 | $457.09 | $912.01 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $48.98 Typical High $72.44 | Facility | 26 · Professional part | $12.02 | $48.98 | $72.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $275.42 Typical High $398.11 | Facility | TC · Technical part | $58.88 | $275.42 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $588.84 Typical High $1,412.54 | Professional | None (both parts) | $251.19 | $588.84 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $35.48 | $104.71 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $676.08 Typical High $1,230.27 | Professional | TC · Technical part | $194.98 | $676.08 | $1,230.27 |
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 $208.93 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $208.93 | $346.74 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $46.77 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $398.11 | Professional | TC · Technical part | $177.83 | $302.00 | $398.11 |
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 $123.03 Median $134.90 Typical High $186.21 | Professional | 52 · Reduced service | $123.03 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $74.13 | Professional | 53 · Discontinued | $48.98 | $53.70 | $74.13 |
Where Kentucky sits
The same service costs 3.5 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
$263
AK $933KY $263
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.