How much rates vary
Facilitymedian $28 · 10th to 90th $9 to $45Professionalmedian $30 · 10th to 90th $18 to $63
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 $23.99 Median $27.54 Typical High $56.23 | Facility | None | $23.99 | $27.54 | $56.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $13.49 | Facility | 26 · Professional part | $7.24 | $8.51 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $45.71 | Facility | TC · Technical part | $16.60 | $19.50 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $23.99 | $27.54 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.13 Typical High $11.75 | Professional | 26 · Professional part | $7.24 | $8.13 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $35.48 | Professional | TC · Technical part | $16.60 | $19.50 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $25.12 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $8.32 | $8.91 | $8.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.89 Median $30.20 Typical High $63.10 | Professional | None (both parts) | $20.89 | $30.20 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.71 Typical High $10.96 | Professional | 26 · Professional part | $6.17 | $8.71 | $10.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $21.88 Typical High $52.48 | Professional | TC · Technical part | $14.13 | $21.88 | $52.48 |
CareSource Setting Facility Modifier None Typical Low $6.61 Median $15.49 Typical High $28.84 | Facility | None | $6.61 | $15.49 | $28.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.61 Median $16.22 Typical High $25.12 | Professional | None (both parts) | $6.61 | $16.22 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $1.86 Median $8.71 Typical High $12.30 | Facility | 26 · Professional part | $1.86 | $8.71 | $12.30 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $4.17 Median $19.50 Typical High $28.18 | Facility | TC · Technical part | $4.17 | $19.50 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $50.12 Typical High $223.87 | Professional | None (both parts) | $22.39 | $50.12 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.96 Typical High $38.02 | Professional | 26 · Professional part | $6.76 | $10.96 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $38.02 Typical High $91.20 | Professional | TC · Technical part | $15.85 | $38.02 | $91.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.90 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $25.70 | $38.90 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $12.59 | Professional | 26 · Professional part | $7.41 | $10.00 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $18.62 | $28.18 | $46.77 |
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 $11.75 Median $12.88 Typical High $14.13 | Professional | 52 · Reduced service | $11.75 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.13 Typical High $5.75 | Professional | 53 · Discontinued | $4.79 | $5.13 | $5.75 |
Where Kentucky sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$30.20
MN $69.18MD $25.70
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.