How much rates vary
Facilitymedian $1,000 · 10th to 90th $123 to $1,288Professionalmedian $1,096 · 10th to 90th $776 to $1,905
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,000.00 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,000.00 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $2,187.76 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $288.40 | Professional | 26 · Professional part | $95.50 | $100.00 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $2,344.23 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,096.48 Typical High $1,479.11 | Professional | None (both parts) | $933.25 | $1,096.48 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $81.28 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,023.29 Typical High $1,380.38 | Professional | TC · Technical part | $891.25 | $1,023.29 | $1,380.38 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $380.19 Typical High $588.84 | Facility | None | $77.62 | $380.19 | $588.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $83.18 | $104.71 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $2,884.03 | Facility | None | $812.83 | $812.83 | $2,884.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $97.72 Typical High $141.25 | Facility | 26 · Professional part | $20.89 | $97.72 | $141.25 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $467.74 Typical High $676.08 | Facility | TC · Technical part | $102.33 | $467.74 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,412.54 Typical High $2,511.89 | Professional | None (both parts) | $416.87 | $1,412.54 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $245.47 Typical High $1,737.80 | Professional | 26 · Professional part | $85.11 | $245.47 | $1,737.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $2,089.30 Typical High $2,089.30 | Professional | TC · Technical part | $288.40 | $2,089.30 | $2,089.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $93.33 | Professional | None (both parts) | $33.11 | $33.11 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,174.90 Typical High $1,949.84 | Professional | None (both parts) | $954.99 | $1,174.90 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $102.33 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,096.48 Typical High $1,819.70 | Professional | TC · Technical part | $831.76 | $1,096.48 | $1,819.70 |
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 $645.65 Median $645.65 Typical High $912.01 | Professional | 52 · Reduced service | $645.65 | $645.65 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | 53 · Discontinued | $257.04 | $257.04 | $363.08 |
Where Kentucky sits
The same service costs 15.1 times more in Nebraska than in Washington. 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
$1,096
NE $3,090WA $204
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.