How much rates vary
Facilitymedian $794 · 10th to 90th $234 to $7,413Professionalmedian $372 · 10th to 90th $282 to $631
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 $302.00 Median $354.81 Typical High $794.33 | Facility | None | $302.00 | $354.81 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $389.05 | Professional | None (both parts) | $302.00 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $251.19 Typical High $309.03 | Professional | 26 · Professional part | $239.88 | $251.19 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $67.61 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $309.03 | $363.08 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $281.84 Typical High $346.74 | Professional | 26 · Professional part | $208.93 | $281.84 | $346.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $69.18 | $81.28 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $223.87 Typical High $346.74 | Facility | None | $56.23 | $223.87 | $346.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $56.23 | $77.62 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $501.19 Typical High $512.86 | Facility | None | $457.09 | $501.19 | $512.86 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $275.42 Typical High $398.11 | Facility | 26 · Professional part | $58.88 | $275.42 | $398.11 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $72.44 Typical High $102.33 | Facility | TC · Technical part | $15.49 | $72.44 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $630.96 Typical High $1,513.56 | Professional | None (both parts) | $281.84 | $630.96 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $446.68 Typical High $1,202.26 | Professional | 26 · Professional part | $223.87 | $446.68 | $1,202.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $131.83 Typical High $912.01 | Professional | TC · Technical part | $57.54 | $131.83 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $346.74 | Professional | None (both parts) | $33.11 | $33.11 | $346.74 |
United Setting Facility Modifier None Typical Low $977.24 Median $2,570.40 Typical High $8,912.51 | Facility | None | $977.24 | $2,570.40 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $354.81 | $478.63 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $354.81 Typical High $436.52 | Professional | 26 · Professional part | $263.03 | $354.81 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $120.23 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $120.23 | $190.55 |
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 $151.36 Median $158.49 Typical High $194.98 | Professional | 52 · Reduced service | $151.36 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $60.26 | $63.10 | $77.62 |
Where Kentucky sits
The same service costs 9.5 times more in Louisiana 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· 48th of 51
$389
LA $3,090NY $324
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.