How much rates vary
Facilitymedian $1,549 · 10th to 90th $126 to $2,884Professionalmedian $141 · 10th to 90th $112 to $214
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 $125.89 Median $169.82 Typical High $269.15 | Facility | None | $125.89 | $169.82 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $141.25 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $39.81 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $107.15 | $120.23 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
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 $107.15 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $107.15 | $120.23 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $40.74 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $89.13 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $102.33 Typical High $158.49 | Facility | None | $32.36 | $102.33 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $52.48 | Professional | None (both parts) | $35.48 | $43.65 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $40.74 Typical High $58.88 | Facility | 26 · Professional part | $8.91 | $40.74 | $58.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $128.82 Typical High $186.21 | Facility | TC · Technical part | $27.54 | $128.82 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $741.31 | Professional | None (both parts) | $138.04 | $186.21 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $181.97 | Professional | 26 · Professional part | $33.88 | $52.48 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $575.44 | Professional | TC · Technical part | $93.33 | $138.04 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $33.11 | $33.11 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $131.83 | $169.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $37.15 | $48.98 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $120.23 | $165.96 |
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 $70.79 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $31.62 | $34.67 |
Where Kentucky sits
The same service costs 3.0 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
$145
AK $380UT $129
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.