How much rates vary
Facilitymedian $1,259 · 10th to 90th $174 to $2,754Professionalmedian $263 · 10th to 90th $178 to $468
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 $354.81 | Facility | None | $173.78 | $190.55 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $173.78 | $190.55 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $53.70 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $125.89 | $138.04 | $218.78 |
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 $190.55 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $190.55 | $263.03 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $66.07 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $199.53 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $134.90 Typical High $208.93 | Facility | None | $51.29 | $134.90 | $208.93 |
CareSource Setting Professional Modifier None (both parts) Typical Low $54.95 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $54.95 | $69.18 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $338.84 Typical High $794.33 | Facility | None | $199.53 | $338.84 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $64.57 Typical High $93.33 | Facility | 26 · Professional part | $13.80 | $64.57 | $93.33 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $169.82 Typical High $245.47 | Facility | TC · Technical part | $36.31 | $169.82 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $575.44 Typical High $1,412.54 | Professional | None (both parts) | $218.78 | $575.44 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $158.49 Typical High $281.84 | Professional | 26 · Professional part | $56.23 | $158.49 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $457.09 Typical High $758.58 | Professional | TC · Technical part | $158.49 | $457.09 | $758.58 |
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 $234.42 Median $288.40 Typical High $380.19 | Professional | None (both parts) | $234.42 | $288.40 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $70.79 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $218.78 | $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 $95.50 Typical High $134.90 | Professional | 52 · Reduced service | $87.10 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $53.70 | Professional | 53 · Discontinued | $35.48 | $38.02 | $53.70 |
Where Kentucky sits
The same service costs 4.7 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
$275
AK $851TX $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.