How much rates vary
Facilitymedian $257 · 10th to 90th $89 to $794Professionalmedian $288 · 10th to 90th $204 to $490
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 $257.04 Median $302.00 Typical High $512.86 | Facility | None | $257.04 | $302.00 | $512.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $162.18 | Facility | 26 · Professional part | $95.50 | $112.20 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $257.04 | Facility | TC · Technical part | $158.49 | $186.21 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $257.04 | $302.00 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $181.97 | Professional | 26 · Professional part | $93.33 | $112.20 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $323.59 | Professional | TC · Technical part | $162.18 | $190.55 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $112.20 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $239.88 | $281.84 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $128.82 | Professional | 26 · Professional part | $79.43 | $102.33 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $251.19 | Professional | TC · Technical part | $154.88 | $186.21 | $251.19 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $151.36 Typical High $316.23 | Facility | None | $87.10 | $151.36 | $316.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $323.59 | Professional | None (both parts) | $89.13 | $151.36 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $109.65 Typical High $154.88 | Facility | 26 · Professional part | $23.44 | $109.65 | $154.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $186.21 Typical High $269.15 | Facility | TC · Technical part | $40.74 | $186.21 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $489.78 Typical High $1,288.25 | Professional | None (both parts) | $239.88 | $489.78 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $177.83 Typical High $446.68 | Professional | 26 · Professional part | $89.13 | $177.83 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $302.00 Typical High $1,000.00 | Professional | TC · Technical part | $151.36 | $302.00 | $1,000.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $251.19 | Professional | None (both parts) | $33.11 | $33.11 | $251.19 |
United Setting Facility Modifier None Typical Low $70.79 Median $186.21 Typical High $1,148.15 | Facility | None | $70.79 | $186.21 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $281.84 | $338.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $125.89 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $338.84 | Professional | TC · Technical part | $181.97 | $213.80 | $338.84 |
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 $128.82 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $128.82 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $54.95 | $61.66 |
Where Kentucky sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 41st of 51
$288
WI $891HI $138
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.