How much rates vary
Facilitymedian $437 · 10th to 90th $34 to $1,820Professionalmedian $68 · 10th to 90th $46 to $95
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 $44.67 Median $52.48 Typical High $794.33 | Facility | None | $44.67 | $52.48 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $44.67 | $47.86 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $38.02 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $9.77 Typical High $13.18 | Professional | TC · Technical part | $8.71 | $9.77 | $13.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $52.48 | $66.07 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $53.70 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $13.18 Typical High $18.20 | Professional | TC · Technical part | $10.96 | $13.18 | $18.20 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $33.11 Typical High $52.48 | Facility | None | $7.94 | $33.11 | $52.48 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.94 Median $11.22 Typical High $13.18 | Professional | None (both parts) | $7.94 | $11.22 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $14,791.08 | Facility | None | $51.29 | $74.13 | $14,791.08 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $42.66 Typical High $60.26 | Facility | 26 · Professional part | $9.12 | $42.66 | $60.26 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2.88 Median $11.75 Typical High $17.38 | Facility | TC · Technical part | $2.88 | $11.75 | $17.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $41.69 | $117.49 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $79.43 Typical High $234.42 | Professional | 26 · Professional part | $33.88 | $79.43 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $21.38 Typical High $81.28 | Professional | TC · Technical part | $8.13 | $21.38 | $81.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $11.48 | $33.11 | $58.88 |
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 $60.26 Median $77.62 Typical High $95.50 | Professional | None (both parts) | $60.26 | $77.62 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $44.67 | $63.10 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $14.45 Typical High $23.44 | Professional | TC · Technical part | $11.48 | $14.45 | $23.44 |
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 $22.39 Median $23.99 Typical High $30.90 | Professional | 52 · Reduced service | $22.39 | $23.99 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.55 Typical High $12.59 | Professional | 53 · Discontinued | $9.12 | $9.55 | $12.59 |
Where Kentucky sits
The same service costs 51.3 times more in Oklahoma than in New York. 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· 42nd of 51
$67.61
OK $2,570NY $50.12
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.