How much rates vary
Facilitymedian $28 · 10th to 90th $13 to $54Professionalmedian $33 · 10th to 90th $20 to $55
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 $27.54 Median $28.84 Typical High $41.69 | Facility | None | $27.54 | $28.84 | $41.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $10.23 Typical High $16.98 | Facility | 26 · Professional part | $10.00 | $10.23 | $16.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $18.20 Typical High $28.18 | Facility | TC · Technical part | $17.78 | $18.20 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $27.54 | $28.84 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.23 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $10.23 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $18.62 Typical High $34.67 | Professional | TC · Technical part | $17.78 | $18.62 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $28.84 | $38.90 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $13.18 | Professional | 26 · Professional part | $11.22 | $11.22 | $13.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $25.12 | $33.11 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $10.47 | $14.13 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $23.44 | Professional | TC · Technical part | $15.85 | $18.62 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $17.78 Typical High $36.31 | Facility | None | $9.77 | $17.78 | $36.31 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.55 Median $18.62 Typical High $34.67 | Professional | None (both parts) | $9.55 | $18.62 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.75 Median $12.88 Typical High $18.62 | Facility | 26 · Professional part | $2.75 | $12.88 | $18.62 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.25 Median $24.55 Typical High $35.48 | Facility | TC · Technical part | $5.25 | $24.55 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $162.18 | Professional | None (both parts) | $27.54 | $44.67 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $18.20 Typical High $53.70 | Professional | 26 · Professional part | $10.00 | $18.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.18 Typical High $109.65 | Professional | TC · Technical part | $17.78 | $28.18 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $21.38 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $32.36 | $38.02 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $25.70 | Professional | 26 · Professional part | $13.49 | $15.85 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $19.05 | $22.39 | $38.02 |
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 $13.80 Median $14.13 Typical High $17.38 | Professional | 52 · Reduced service | $13.80 | $14.13 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.75 Typical High $6.92 | Professional | 53 · Discontinued | $5.50 | $5.75 | $6.92 |
Where Kentucky sits
The same service costs 2.7 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· 45th of 51
$33.11
AK $83.18FL $30.90
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.