How much rates vary
Facilitymedian $126 · 10th to 90th $71 to $1,202Professionalmedian $186 · 10th to 90th $107 to $2,455
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 $5,495.41 | Facility | None | $107.15 | $125.89 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $302.00 | Professional | None (both parts) | $107.15 | $128.82 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $95.50 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $83.18 | Professional | TC · Technical part | $25.12 | $30.20 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $977.24 | Professional | None (both parts) | $120.23 | $144.54 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $933.25 | Professional | 26 · Professional part | $97.72 | $123.03 | $933.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $17.38 | $23.99 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $75.86 Typical High $117.49 | Facility | None | $22.91 | $75.86 | $117.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.91 Median $31.62 Typical High $38.02 | Professional | None (both parts) | $22.91 | $31.62 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $281.84 | Facility | None | $117.49 | $173.78 | $281.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $93.33 Typical High $134.90 | Facility | 26 · Professional part | $19.95 | $93.33 | $134.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.17 Median $28.84 Typical High $40.74 | Facility | TC · Technical part | $6.17 | $28.84 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $295.12 Typical High $2,454.71 | Professional | None (both parts) | $100.00 | $295.12 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $190.55 Typical High $1,819.70 | Professional | 26 · Professional part | $75.86 | $190.55 | $1,819.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $58.88 Typical High $741.31 | Professional | TC · Technical part | $23.44 | $58.88 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $138.04 | Professional | None (both parts) | $33.11 | $33.11 | $138.04 |
United Setting Facility Modifier None Typical Low $77.62 Median $251.19 Typical High $1,380.38 | Facility | None | $77.62 | $251.19 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $501.19 Typical High $3,311.31 | Professional | None (both parts) | $181.97 | $501.19 | $3,311.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $239.88 | Professional | 26 · Professional part | $128.82 | $169.82 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $338.84 Typical High $3,090.30 | Professional | TC · Technical part | $42.66 | $338.84 | $3,090.30 |
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 $63.10 Typical High $100.00 | Professional | 52 · Reduced service | $53.70 | $63.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $39.81 | Professional | 53 · Discontinued | $21.38 | $25.12 | $39.81 |
Where Kentucky sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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
$174
TN $2,344SC $126
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.