How much rates vary
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 $257.04 Median $257.04 Typical High $281.84 | Facility | None | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $257.04 | $288.40 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $44.67 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $331.13 | Professional | TC · Technical part | $218.78 | $245.47 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $234.42 | $275.42 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $53.70 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $190.55 | $194.98 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $229.09 Typical High $363.08 | Facility | None | $42.66 | $229.09 | $363.08 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $70.79 | Professional | None (both parts) | $42.66 | $56.23 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $933.25 | Facility | None | $346.74 | $478.63 | $933.25 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $53.70 Typical High $75.86 | Facility | 26 · Professional part | $11.48 | $53.70 | $75.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $281.84 Typical High $407.38 | Facility | TC · Technical part | $60.26 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $831.76 Typical High $1,479.11 | Professional | None (both parts) | $281.84 | $831.76 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $131.83 Typical High $234.42 | Professional | 26 · Professional part | $45.71 | $131.83 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $691.83 Typical High $1,258.93 | Professional | TC · Technical part | $229.09 | $691.83 | $1,258.93 |
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 $251.19 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $251.19 | $380.19 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $58.88 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $407.38 | Professional | TC · Technical part | $208.93 | $323.59 | $407.38 |
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 $128.82 Median $141.25 Typical High $194.98 | Professional | 52 · Reduced service | $128.82 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $56.23 Typical High $77.62 | Professional | 53 · Discontinued | $51.29 | $56.23 | $77.62 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska 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· 50th of 51
$282
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.