How much rates vary
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 $229.09 Median $251.19 Typical High $275.42 | Facility | None | $229.09 | $251.19 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $229.09 | $257.04 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $36.31 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $194.98 | $223.87 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $251.19 | $263.03 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $45.71 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $204.17 | $218.78 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $208.93 Typical High $323.59 | Facility | None | $33.88 | $208.93 | $323.59 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $56.23 | Professional | None (both parts) | $34.67 | $46.77 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $1,737.80 | Facility | None | $426.58 | $426.58 | $1,737.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $48.98 Typical High $72.44 | Facility | 26 · Professional part | $12.02 | $48.98 | $72.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $257.04 Typical High $363.08 | Facility | TC · Technical part | $54.95 | $257.04 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $616.60 Typical High $1,288.25 | Professional | None (both parts) | $251.19 | $616.60 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $107.15 Typical High $204.17 | Professional | 26 · Professional part | $39.81 | $107.15 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $630.96 Typical High $1,122.02 | Professional | TC · Technical part | $213.80 | $630.96 | $1,122.02 |
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 $245.47 Median $338.84 Typical High $436.52 | Professional | None (both parts) | $245.47 | $338.84 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $46.77 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $295.12 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $295.12 | $380.19 |
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 $114.82 Median $125.89 Typical High $173.78 | Professional | 52 · Reduced service | $114.82 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $69.18 | Professional | 53 · Discontinued | $45.71 | $50.12 | $69.18 |
Where Kentucky sits
The same service costs 3.7 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· 49th of 51
$269
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.