How much rates vary
Facilitymedian $1,549 · 10th to 90th $182 to $2,884Professionalmedian $295 · 10th to 90th $195 to $550
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 $181.97 Median $199.53 Typical High $407.38 | Facility | None | $181.97 | $199.53 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $181.97 | $199.53 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $60.26 | $66.07 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $123.03 | $134.90 | $223.87 |
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 $199.53 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $199.53 | $295.12 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $64.57 | $85.11 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $208.93 Typical High $436.52 | Professional | TC · Technical part | $134.90 | $208.93 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $131.83 Typical High $218.78 | Facility | None | $63.10 | $131.83 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $61.66 | $85.11 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $1,071.52 | Facility | None | $354.81 | $354.81 | $1,071.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $79.43 Typical High $114.82 | Facility | 26 · Professional part | $16.98 | $79.43 | $114.82 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $165.96 Typical High $234.42 | Facility | TC · Technical part | $35.48 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $630.96 Typical High $1,621.81 | Professional | None (both parts) | $229.09 | $630.96 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $194.98 Typical High $354.81 | Professional | 26 · Professional part | $70.79 | $194.98 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $524.81 Typical High $776.25 | Professional | TC · Technical part | $154.88 | $524.81 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $218.78 | Professional | None (both parts) | $33.11 | $33.11 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $251.19 | $316.23 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $109.65 | Professional | 26 · Professional part | $69.18 | $87.10 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $295.12 | Professional | TC · Technical part | $173.78 | $239.88 | $295.12 |
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 $91.20 Median $100.00 Typical High $147.91 | Professional | 52 · Reduced service | $91.20 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $58.88 | Professional | 53 · Discontinued | $36.31 | $39.81 | $58.88 |
Where Kentucky sits
The same service costs 5.0 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· 35th of 51
$302
AK $891TX $178
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.