How much rates vary
Facilitymedian $490 · 10th to 90th $151 to $1,479Professionalmedian $501 · 10th to 90th $389 to $676
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $416.87 Median $489.78 Typical High $8,511.38 | Facility | None | $416.87 | $489.78 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $416.87 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $186.21 Typical High $208.93 | Professional | 26 · Professional part | $173.78 | $186.21 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $263.03 Typical High $288.40 | Professional | TC · Technical part | $239.88 | $263.03 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $501.19 Typical High $630.96 | Professional | None (both parts) | $416.87 | $501.19 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $204.17 Typical High $257.04 | Professional | 26 · Professional part | $151.36 | $204.17 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $371.54 | Professional | TC · Technical part | $245.47 | $295.12 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $436.52 | Facility | None | $151.36 | $251.19 | $436.52 |
CareSource Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $257.04 | Professional | None (both parts) | $144.54 | $199.53 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $691.83 Typical High $870.96 | Facility | None | $467.74 | $691.83 | $870.96 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $204.17 Typical High $288.40 | Facility | 26 · Professional part | $43.65 | $204.17 | $288.40 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $281.84 Typical High $407.38 | Facility | TC · Technical part | $60.26 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $562.34 Typical High $2,089.30 | Professional | None (both parts) | $389.05 | $562.34 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $251.19 Typical High $870.96 | Professional | 26 · Professional part | $162.18 | $251.19 | $870.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $331.13 Typical High $1,479.11 | Professional | TC · Technical part | $223.87 | $331.13 | $1,479.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $331.13 | Professional | None (both parts) | $33.11 | $33.11 | $331.13 |
United Setting Facility Modifier None Typical Low $58.88 Median $416.87 Typical High $1,949.84 | Facility | None | $58.88 | $416.87 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $691.83 | Professional | None (both parts) | $398.11 | $537.03 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $218.78 Typical High $323.59 | Professional | 26 · Professional part | $177.83 | $218.78 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $398.11 | Professional | TC · Technical part | $223.87 | $316.23 | $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 $208.93 Median $223.87 Typical High $251.19 | Professional | 52 · Reduced service | $208.93 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $89.13 Typical High $100.00 | Professional | 53 · Discontinued | $83.18 | $89.13 | $100.00 |
Where Kentucky sits
The same service costs 3.0 times more in Wisconsin than in North 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· 38th of 51
$501
WI $1,000NC $331
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.