How much rates vary
Facilitymedian $126 · 10th to 90th $55 to $724Professionalmedian $204 · 10th to 90th $79 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 $107.15 Median $125.89 Typical High $213.80 | Facility | None | $107.15 | $125.89 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $239.88 | Professional | None (both parts) | $107.15 | $128.82 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $74.13 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $64.57 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $204.17 Typical High $2,238.72 | Professional | None (both parts) | $79.43 | $204.17 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $64.57 | $77.62 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $1,445.44 | Professional | TC · Technical part | $79.43 | $104.71 | $1,445.44 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $56.23 Typical High $112.20 | Facility | None | $41.69 | $56.23 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $47.86 | $66.07 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $18.62 Median $87.10 Typical High $123.03 | Facility | 26 · Professional part | $18.62 | $87.10 | $123.03 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $91.20 Typical High $128.82 | Facility | TC · Technical part | $19.50 | $91.20 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $288.40 Typical High $758.58 | Professional | None (both parts) | $100.00 | $288.40 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $138.04 Typical High $363.08 | Professional | 26 · Professional part | $48.98 | $138.04 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $120.23 Typical High $398.11 | Professional | TC · Technical part | $50.12 | $120.23 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | None (both parts) | $33.11 | $33.11 | $85.11 |
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 $162.18 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $162.18 | $208.93 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $91.20 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $125.89 | $173.78 |
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 $53.70 Median $56.23 Typical High $72.44 | Professional | 52 · Reduced service | $53.70 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $21.38 | $22.91 | $28.84 |
Where Kentucky sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 19th of 51
$204
WI $417VA $110
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.