How much rates vary
Facilitymedian $1,549 · 10th to 90th $251 to $2,884Professionalmedian $490 · 10th to 90th $302 to $708
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 $331.13 Median $562.34 Typical High $660.69 | Facility | None | $331.13 | $562.34 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $616.60 Typical High $707.95 | Professional | None (both parts) | $549.54 | $616.60 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $147.91 Typical High $177.83 | Professional | 26 · Professional part | $125.89 | $147.91 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | TC · Technical part | $512.86 | $562.34 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
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 $316.23 Median $489.78 Typical High $588.84 | Professional | None (both parts) | $316.23 | $489.78 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $100.00 | $125.89 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $371.54 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $371.54 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $251.19 | Facility | None | $97.72 | $131.83 | $251.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $104.71 | $134.90 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $147.91 Typical High $208.93 | Facility | 26 · Professional part | $31.62 | $147.91 | $208.93 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $134.90 Typical High $194.98 | Facility | TC · Technical part | $28.84 | $134.90 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $398.11 Typical High $1,202.26 | Professional | None (both parts) | $229.09 | $398.11 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $199.53 Typical High $676.08 | Professional | 26 · Professional part | $117.49 | $199.53 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $758.58 | Professional | TC · Technical part | $107.15 | $190.55 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $218.78 | Professional | None (both parts) | $33.11 | $33.11 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $363.08 | $489.78 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $239.88 | Professional | 26 · Professional part | $131.83 | $186.21 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $288.40 Typical High $602.56 | Professional | TC · Technical part | $194.98 | $288.40 | $602.56 |
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 $275.42 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $275.42 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $114.82 Typical High $131.83 | Professional | 53 · Discontinued | $109.65 | $114.82 | $131.83 |
Where Kentucky sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 32nd of 51
$490
AK $1,000WA $324
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.