How much rates vary
Facilitymedian $257 · 10th to 90th $78 to $1,202Professionalmedian $269 · 10th to 90th $166 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 $218.78 Median $257.04 Typical High $5,495.41 | Facility | None | $218.78 | $257.04 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $218.78 | $257.04 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $309.03 | Professional | 26 · Professional part | $169.82 | $199.53 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $123.03 | Professional | TC · Technical part | $51.29 | $60.26 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $213.80 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $977.24 | Professional | None (both parts) | $165.96 | $213.80 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $177.83 Typical High $933.25 | Professional | 26 · Professional part | $144.54 | $177.83 | $933.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $36.31 | Professional | TC · Technical part | $17.38 | $23.99 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $158.49 Typical High $245.47 | Facility | None | $46.77 | $158.49 | $245.47 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $46.77 | $66.07 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $194.98 Typical High $275.42 | Facility | 26 · Professional part | $41.69 | $194.98 | $275.42 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $12.88 Median $60.26 Typical High $85.11 | Facility | TC · Technical part | $12.88 | $60.26 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $446.68 Typical High $2,454.71 | Professional | None (both parts) | $204.17 | $446.68 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $316.23 Typical High $1,698.24 | Professional | 26 · Professional part | $158.49 | $316.23 | $1,698.24 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $93.33 Typical High $741.31 | Professional | TC · Technical part | $47.86 | $93.33 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $204.17 | Professional | None (both parts) | $33.11 | $33.11 | $204.17 |
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 $218.78 Median $794.33 Typical High $3,162.28 | Professional | None (both parts) | $218.78 | $794.33 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $245.47 Typical High $346.74 | Professional | 26 · Professional part | $151.36 | $245.47 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $549.54 Typical High $2,884.03 | Professional | TC · Technical part | $54.95 | $549.54 | $2,884.03 |
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 $109.65 Median $114.82 Typical High $144.54 | Professional | 52 · Reduced service | $109.65 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $58.88 | Professional | 53 · Discontinued | $43.65 | $46.77 | $58.88 |
Where Kentucky sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 46th of 51
$263
WI $1,047MD $229
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.