How much rates vary
Facilitymedian $1,413 · 10th to 90th $174 to $2,884Professionalmedian $245 · 10th to 90th $182 to $407
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 $173.78 Median $190.55 Typical High $281.84 | Facility | None | $173.78 | $190.55 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $173.78 | $194.98 | $281.84 |
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 $131.83 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $131.83 | $151.36 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
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 $186.21 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $186.21 | $245.47 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $52.48 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $194.98 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $141.25 Typical High $218.78 | Facility | None | $41.69 | $141.25 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $57.54 Typical High $69.18 | Professional | None (both parts) | $42.66 | $57.54 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $794.33 | Facility | None | $331.13 | $331.13 | $794.33 |
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 $38.02 Median $177.83 Typical High $251.19 | Facility | TC · Technical part | $38.02 | $177.83 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $467.74 Typical High $1,122.02 | Professional | None (both parts) | $213.80 | $467.74 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $128.82 Typical High $234.42 | Professional | 26 · Professional part | $45.71 | $128.82 | $234.42 |
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 $208.93 | Professional | None (both parts) | $33.11 | $33.11 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $223.87 | $263.03 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $57.54 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $177.83 | $204.17 | $281.84 |
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 $87.10 Median $93.33 Typical High $128.82 | Professional | 52 · Reduced service | $87.10 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.02 Typical High $51.29 | Professional | 53 · Discontinued | $34.67 | $38.02 | $51.29 |
Where Kentucky sits
The same service costs 3.5 times more in Wisconsin 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· 39th of 51
$251
WI $676TX $191
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.