How much rates vary
Facilitymedian $468 · 10th to 90th $166 to $1,820Professionalmedian $251 · 10th to 90th $200 to $417
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 $213.80 Median $251.19 Typical High $794.33 | Facility | None | $213.80 | $251.19 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $213.80 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $173.78 Typical High $194.98 | Professional | 26 · Professional part | $158.49 | $173.78 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $56.23 | $66.07 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $199.53 | $239.88 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $173.78 Typical High $229.09 | Professional | 26 · Professional part | $138.04 | $173.78 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $66.07 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $147.91 Typical High $229.09 | Facility | None | $51.29 | $147.91 | $229.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $46.77 | $69.18 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $512.86 | Facility | None | $363.08 | $363.08 | $512.86 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $186.21 Typical High $263.03 | Facility | 26 · Professional part | $39.81 | $186.21 | $263.03 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $66.07 Typical High $95.50 | Facility | TC · Technical part | $14.45 | $66.07 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $416.87 Typical High $1,047.13 | Professional | None (both parts) | $199.53 | $416.87 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $302.00 Typical High $758.58 | Professional | 26 · Professional part | $147.91 | $302.00 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $109.65 Typical High $295.12 | Professional | TC · Technical part | $52.48 | $109.65 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $251.19 | Professional | None (both parts) | $33.11 | $33.11 | $251.19 |
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 $229.09 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $229.09 | $288.40 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $218.78 Typical High $295.12 | Professional | 26 · Professional part | $165.96 | $218.78 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $74.13 | $117.49 |
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 $107.15 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $45.71 | $52.48 |
Where Kentucky sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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
$257
LA $1,288AL $224
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.