How much rates vary
Facilitymedian $282 · 10th to 90th $191 to $537Professionalmedian $275 · 10th to 90th $234 to $501
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 $257.04 Median $281.84 Typical High $489.78 | Facility | None | $257.04 | $281.84 | $489.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $85.11 | Facility | 26 · Professional part | $42.66 | $46.77 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $446.68 | Facility | TC · Technical part | $194.98 | $234.42 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $257.04 | $288.40 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $42.66 | $46.77 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $213.80 | $245.47 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $239.88 | $257.04 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $44.67 | $54.95 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $186.21 | $199.53 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $229.09 Typical High $354.81 | Facility | None | $43.65 | $229.09 | $354.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $39.81 | $57.54 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $933.25 | Facility | None | $478.63 | $478.63 | $933.25 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $54.95 Typical High $77.62 | Facility | 26 · Professional part | $11.75 | $54.95 | $77.62 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $281.84 Typical High $398.11 | Facility | TC · Technical part | $60.26 | $281.84 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $602.56 Typical High $1,445.44 | Professional | None (both parts) | $281.84 | $602.56 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $134.90 Typical High $245.47 | Professional | 26 · Professional part | $46.77 | $134.90 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $691.83 Typical High $1,230.27 | Professional | TC · Technical part | $229.09 | $691.83 | $1,230.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $302.00 | Professional | None (both parts) | $33.11 | $33.11 | $302.00 |
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 $44.67 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $60.26 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $398.11 | Professional | TC · Technical part | $208.93 | $323.59 | $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 $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 4.7 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
$275
AK $1,288KY $275
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.