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 $147.91 Median $162.18 Typical High $302.00 | Facility | None | $147.91 | $162.18 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $100.00 | Facility | 26 · Professional part | $50.12 | $54.95 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $204.17 | Facility | TC · Technical part | $97.72 | $107.15 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $147.91 | $165.96 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $54.95 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $112.20 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $141.25 | $181.97 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $66.07 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $120.23 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $104.71 Typical High $177.83 | Facility | None | $51.29 | $104.71 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $67.61 Typical High $85.11 | Professional | None (both parts) | $46.77 | $67.61 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $870.96 | Facility | None | $275.42 | $275.42 | $870.96 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $64.57 Typical High $91.20 | Facility | 26 · Professional part | $13.80 | $64.57 | $91.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $128.82 Typical High $181.97 | Facility | TC · Technical part | $27.54 | $128.82 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $416.87 Typical High $1,023.29 | Professional | None (both parts) | $181.97 | $416.87 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $158.49 Typical High $288.40 | Professional | 26 · Professional part | $54.95 | $158.49 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $120.23 | $316.23 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $173.78 | Professional | None (both parts) | $33.11 | $33.11 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $169.82 | $213.80 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $70.79 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $112.20 | $141.25 | $194.98 |
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 $74.13 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $74.13 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $29.51 | $32.36 | $41.69 |
Where Kentucky sits
The same service costs 4.4 times more in Alaska than in Florida. 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· 46th of 51
$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.