How much rates vary
Facilitymedian $195 · 10th to 90th $78 to $692Professionalmedian $324 · 10th to 90th $182 to $2,089
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 $194.98 Median $229.09 Typical High $389.05 | Facility | None | $194.98 | $229.09 | $389.05 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $141.25 | Facility | 26 · Professional part | $72.44 | $85.11 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $194.98 | $239.88 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $95.50 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $154.88 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $120.23 | Professional | 26 · Professional part | $109.65 | $117.49 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $2,238.72 | Professional | None (both parts) | $263.03 | $323.59 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $79.43 | $100.00 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $1,445.44 | Professional | TC · Technical part | $154.88 | $208.93 | $1,445.44 |
CareSource Setting Facility Modifier None Typical Low $67.61 Median $117.49 Typical High $239.88 | Facility | None | $67.61 | $117.49 | $239.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $66.07 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $66.07 | $117.49 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $109.65 Typical High $154.88 | Facility | 26 · Professional part | $23.44 | $109.65 | $154.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $186.21 Typical High $269.15 | Facility | TC · Technical part | $40.74 | $186.21 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $478.63 Typical High $1,288.25 | Professional | None (both parts) | $181.97 | $478.63 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $173.78 Typical High $446.68 | Professional | 26 · Professional part | $67.61 | $173.78 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $302.00 Typical High $831.76 | Professional | TC · Technical part | $114.82 | $302.00 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $107.15 | Professional | None (both parts) | $33.11 | $33.11 | $107.15 |
United Setting Facility Modifier None Typical Low $70.79 Median $186.21 Typical High $1,148.15 | Facility | None | $70.79 | $186.21 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $269.15 | $338.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $123.03 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $181.97 | $213.80 | $331.13 |
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 $97.72 Median $102.33 Typical High $134.90 | Professional | 52 · Reduced service | $97.72 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $41.69 Typical High $53.70 | Professional | 53 · Discontinued | $38.90 | $41.69 | $53.70 |
Where Kentucky sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 25th of 51
$324
WI $776OR $182
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.