How much rates vary
Facilitymedian $25 · 10th to 90th $4 to $44Professionalmedian $30 · 10th to 90th $17 to $141
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 $21.38 Median $25.12 Typical High $123.03 | Facility | None | $21.38 | $25.12 | $123.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $3.09 Median $3.63 Typical High $6.03 | Facility | 26 · Professional part | $3.09 | $3.63 | $6.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $120.23 | Facility | TC · Technical part | $18.62 | $21.38 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.12 Typical High $48.98 | Professional | None (both parts) | $21.38 | $25.12 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $3.63 Typical High $5.50 | Professional | 26 · Professional part | $3.09 | $3.63 | $5.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $21.38 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.12 Typical High $28.18 | Professional | None (both parts) | $23.44 | $25.12 | $28.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $4.07 Typical High $4.47 | Professional | 26 · Professional part | $3.24 | $4.07 | $4.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.20 Median $37.15 Typical High $141.25 | Professional | None (both parts) | $18.20 | $37.15 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $4.07 Typical High $5.01 | Professional | 26 · Professional part | $2.82 | $4.07 | $5.01 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $32.36 Typical High $134.90 | Professional | TC · Technical part | $15.49 | $32.36 | $134.90 |
CareSource Setting Facility Modifier None Typical Low $2.82 Median $16.98 Typical High $26.92 | Facility | None | $2.82 | $16.98 | $26.92 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2.82 Median $17.78 Typical High $25.70 | Professional | None (both parts) | $2.82 | $17.78 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $0.85 Median $3.98 Typical High $5.62 | Facility | 26 · Professional part | $0.85 | $3.98 | $5.62 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $4.79 Median $22.39 Typical High $31.62 | Facility | TC · Technical part | $4.79 | $22.39 | $31.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $70.79 Typical High $501.19 | Professional | None (both parts) | $20.89 | $70.79 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $5.13 Typical High $83.18 | Professional | 26 · Professional part | $2.88 | $5.13 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $64.57 Typical High $173.78 | Professional | TC · Technical part | $17.78 | $64.57 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $79.43 | Professional | None (both parts) | $33.11 | $33.11 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $47.86 Typical High $120.23 | Professional | None (both parts) | $23.99 | $47.86 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $4.68 Typical High $5.75 | Professional | 26 · Professional part | $3.24 | $4.68 | $5.75 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $42.66 Typical High $114.82 | Professional | TC · Technical part | $20.89 | $42.66 | $114.82 |
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 $10.72 Median $12.02 Typical High $12.88 | Professional | 52 · Reduced service | $10.72 | $12.02 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.90 Typical High $5.13 | Professional | 53 · Discontinued | $4.27 | $4.90 | $5.13 |
Where Kentucky sits
The same service costs 2.9 times more in Kansas 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· 41st of 51
$29.51
KS $74.13MD $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.