How much rates vary
Facilitymedian $115 · 10th to 90th $62 to $851Professionalmedian $200 · 10th to 90th $72 to $537
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 $70.79 Median $83.18 Typical High $338.84 | Facility | None | $70.79 | $83.18 | $338.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $186.21 | Facility | 26 · Professional part | $54.95 | $64.57 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $125.89 Typical High $338.84 | Professional | None (both parts) | $70.79 | $125.89 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $91.20 Typical High $239.88 | Professional | 26 · Professional part | $53.70 | $91.20 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $30.20 Typical High $112.20 | Professional | TC · Technical part | $16.60 | $30.20 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $70.79 | Professional | 26 · Professional part | $63.10 | $67.61 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $154.88 | $186.21 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $165.96 Typical High $223.87 | Professional | 26 · Professional part | $123.03 | $165.96 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $34.67 | Professional | TC · Technical part | $17.38 | $22.39 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $56.23 Typical High $91.20 | Facility | None | $20.89 | $56.23 | $91.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.60 Median $64.57 Typical High $91.20 | Professional | None (both parts) | $16.60 | $64.57 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $61.66 Typical High $87.10 | Facility | 26 · Professional part | $13.18 | $61.66 | $87.10 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $4.07 Median $19.05 Typical High $26.92 | Facility | TC · Technical part | $4.07 | $19.05 | $26.92 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $81.28 | $380.19 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $239.88 Typical High $707.95 | Professional | 26 · Professional part | $61.66 | $239.88 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $69.18 Typical High $363.08 | Professional | TC · Technical part | $19.50 | $69.18 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $186.21 | Professional | None (both parts) | $33.11 | $33.11 | $186.21 |
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 $331.13 Median $512.86 Typical High $660.69 | Professional | None (both parts) | $331.13 | $512.86 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $208.93 Typical High $288.40 | Professional | 26 · Professional part | $158.49 | $208.93 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $144.54 | $295.12 | $398.11 |
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 $35.48 Median $41.69 Typical High $112.20 | Professional | 52 · Reduced service | $35.48 | $41.69 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.60 Typical High $44.67 | Professional | 53 · Discontinued | $14.13 | $16.60 | $44.67 |
Where Kentucky sits
The same service costs 4.8 times more in Nebraska 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· 45th of 51
$200
NE $724SC $151
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.