How much rates vary
Facilitymedian $1,259 · 10th to 90th $170 to $2,754Professionalmedian $240 · 10th to 90th $182 to $398
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 $169.82 Median $186.21 Typical High $269.15 | Facility | None | $169.82 | $186.21 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $169.82 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $38.02 | $41.69 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $131.83 | $144.54 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,905.46 Typical High $2,818.38 | Facility | None | $1,071.52 | $1,905.46 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $186.21 | $239.88 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $51.29 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $186.21 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $141.25 Typical High $218.78 | Facility | None | $39.81 | $141.25 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $66.07 | Professional | None (both parts) | $36.31 | $52.48 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $1,071.52 | Facility | None | $208.93 | $323.59 | $1,071.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $50.12 Typical High $72.44 | Facility | 26 · Professional part | $10.72 | $50.12 | $72.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $173.78 Typical High $251.19 | Facility | TC · Technical part | $38.02 | $173.78 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $549.54 Typical High $1,071.52 | Professional | None (both parts) | $213.80 | $549.54 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $43.65 | $123.03 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $426.58 Typical High $776.25 | Professional | TC · Technical part | $165.96 | $426.58 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $204.17 | Professional | None (both parts) | $33.11 | $33.11 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $223.87 | $257.04 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $41.69 | $53.70 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $173.78 | $199.53 | $275.42 |
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 $85.11 Median $93.33 Typical High $131.83 | Professional | 52 · Reduced service | $85.11 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $37.15 Typical High $52.48 | Professional | 53 · Discontinued | $33.88 | $37.15 | $52.48 |
Where Kentucky sits
The same service costs 4.6 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· 42nd of 51
$240
AK $832TX $182
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.