How much rates vary
Facilitymedian $1,549 · 10th to 90th $141 to $2,884Professionalmedian $158 · 10th to 90th $135 to $275
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 $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $141.25 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $35.48 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $109.65 | $123.03 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $3,019.95 | Facility | None | $1,071.52 | $2,041.74 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $141.25 | $154.88 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $42.66 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $100.00 | $112.20 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $117.49 Typical High $181.97 | Facility | None | $33.11 | $117.49 | $181.97 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $54.95 | Professional | None (both parts) | $36.31 | $45.71 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $794.33 | Facility | None | $269.15 | $269.15 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $47.86 Typical High $70.79 | Facility | 26 · Professional part | $12.02 | $47.86 | $70.79 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $147.91 Typical High $213.80 | Facility | TC · Technical part | $31.62 | $147.91 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $331.13 Typical High $831.76 | Professional | None (both parts) | $154.88 | $331.13 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $37.15 | $102.33 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $354.81 Typical High $660.69 | Professional | TC · Technical part | $120.23 | $354.81 | $660.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | None (both parts) | $33.11 | $33.11 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $147.91 | $208.93 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $35.48 | $45.71 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $162.18 | $204.17 |
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 $70.79 Median $77.62 Typical High $107.15 | Professional | 52 · Reduced service | $70.79 | $77.62 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $42.66 | Professional | 53 · Discontinued | $28.18 | $30.90 | $42.66 |
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· 49th of 51
$158
AK $562FL $148
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.