How much rates vary
Facilitymedian $1,413 · 10th to 90th $191 to $2,884Professionalmedian $209 · 10th to 90th $151 to $324
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 $208.93 Median $245.47 Typical High $380.19 | Facility | None | $208.93 | $245.47 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $208.93 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $69.18 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $169.82 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $239.88 | Professional | None (both parts) | $165.96 | $234.42 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $3,019.95 | Facility | None | $1,071.52 | $2,041.74 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $173.78 | $208.93 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $72.44 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $141.25 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $138.04 Typical High $257.04 | Facility | None | $57.54 | $138.04 | $257.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $56.23 | $141.25 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $70.79 Typical High $102.33 | Facility | 26 · Professional part | $15.14 | $70.79 | $102.33 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $173.78 Typical High $251.19 | Facility | TC · Technical part | $37.15 | $173.78 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $295.12 Typical High $1,071.52 | Professional | None (both parts) | $199.53 | $295.12 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $309.03 | Professional | 26 · Professional part | $57.54 | $91.20 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $776.25 | Professional | TC · Technical part | $138.04 | $204.17 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $33.11 | $33.11 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $213.80 | $263.03 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $64.57 | $85.11 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $245.47 | Professional | TC · Technical part | $151.36 | $177.83 | $245.47 |
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 $104.71 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $104.71 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $41.69 | $44.67 | $50.12 |
Where Kentucky sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 48th of 51
$209
AK $562UT $158
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.