How much rates vary
Facilitymedian $479 · 10th to 90th $120 to $2,138Professionalmedian $214 · 10th to 90th $170 to $355
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 $186.21 Median $218.78 Typical High $8,511.38 | Facility | None | $186.21 | $218.78 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $186.21 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $120.23 Typical High $138.04 | Professional | 26 · Professional part | $114.82 | $120.23 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $70.79 | $79.43 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $169.82 | $204.17 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $123.03 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $67.61 | $81.28 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $107.15 Typical High $194.98 | Facility | None | $64.57 | $107.15 | $194.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $64.57 | $89.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $512.86 | Facility | None | $309.03 | $309.03 | $512.86 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $131.83 Typical High $190.55 | Facility | 26 · Professional part | $28.84 | $131.83 | $190.55 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $83.18 Typical High $117.49 | Facility | TC · Technical part | $17.78 | $83.18 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $371.54 Typical High $912.01 | Professional | None (both parts) | $173.78 | $371.54 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $213.80 Typical High $549.54 | Professional | 26 · Professional part | $107.15 | $213.80 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $138.04 Typical High $446.68 | Professional | TC · Technical part | $66.07 | $138.04 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $239.88 | Professional | None (both parts) | $33.11 | $33.11 | $239.88 |
United Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $2,754.23 | Facility | None | $457.09 | $794.33 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $194.98 | $239.88 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $154.88 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $93.33 | $138.04 |
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 $93.33 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $39.81 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $39.81 | $44.67 |
Where Kentucky sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 44th of 51
$219
OK $4,786HI $158
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.