How much rates vary
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 $218.78 Median $239.88 Typical High $426.58 | Facility | None | $218.78 | $239.88 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $218.78 | $239.88 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $66.07 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $158.49 | $177.83 | $295.12 |
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 $239.88 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $239.88 | $331.13 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $64.57 | $81.28 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $245.47 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $173.78 Typical High $263.03 | Facility | None | $63.10 | $173.78 | $263.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $63.10 | $85.11 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $794.33 | Facility | None | $426.58 | $426.58 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $81.28 Typical High $114.82 | Facility | 26 · Professional part | $17.38 | $81.28 | $114.82 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $218.78 Typical High $309.03 | Facility | TC · Technical part | $46.77 | $218.78 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $676.08 Typical High $1,698.24 | Professional | None (both parts) | $281.84 | $676.08 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $194.98 Typical High $354.81 | Professional | 26 · Professional part | $69.18 | $194.98 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $549.54 Typical High $954.99 | Professional | TC · Technical part | $204.17 | $549.54 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $269.15 | Professional | None (both parts) | $33.11 | $33.11 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $295.12 | $354.81 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $85.11 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $223.87 | $275.42 | $363.08 |
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 $109.65 Median $120.23 Typical High $169.82 | Professional | 52 · Reduced service | $109.65 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $67.61 | Professional | 53 · Discontinued | $43.65 | $47.86 | $67.61 |
Where Kentucky sits
The same service costs 5.1 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· 38th of 51
$339
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.