How much rates vary
Facilitymedian $1,413 · 10th to 90th $151 to $2,884Professionalmedian $186 · 10th to 90th $155 to $339
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 $151.36 Median $165.96 Typical High $199.53 | Facility | None | $151.36 | $165.96 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $151.36 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $33.11 | $36.31 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $128.82 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $128.82 | $173.78 |
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 $154.88 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $154.88 | $186.21 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $43.65 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $123.03 | $144.54 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $128.82 Typical High $194.98 | Facility | None | $34.67 | $128.82 | $194.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $46.77 Typical High $57.54 | Professional | None (both parts) | $31.62 | $46.77 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $1,047.13 | Facility | None | $186.21 | $288.40 | $1,047.13 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $50.12 Typical High $74.13 | Facility | 26 · Professional part | $12.59 | $50.12 | $74.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $158.49 Typical High $229.09 | Facility | TC · Technical part | $33.88 | $158.49 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $489.78 Typical High $891.25 | Professional | None (both parts) | $177.83 | $489.78 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $38.02 | $107.15 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $380.19 Typical High $707.95 | Professional | TC · Technical part | $141.25 | $380.19 | $707.95 |
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 $173.78 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $173.78 | $223.87 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $46.77 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $234.42 | Professional | TC · Technical part | $141.25 | $173.78 | $234.42 |
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 $75.86 Median $83.18 Typical High $112.20 | Professional | 52 · Reduced service | $75.86 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.11 Typical High $44.67 | Professional | 53 · Discontinued | $30.20 | $33.11 | $44.67 |
Where Kentucky sits
The same service costs 4.7 times more in Alaska than in Texas. 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
$191
AK $741TX $158
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.