How much rates vary
Facilitymedian $525 · 10th to 90th $219 to $3,548Professionalmedian $417 · 10th to 90th $282 to $692
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 $323.59 Median $380.19 Typical High $8,511.38 | Facility | None | $323.59 | $380.19 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $426.58 | Professional | None (both parts) | $323.59 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $263.03 Typical High $302.00 | Professional | 26 · Professional part | $251.19 | $263.03 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $75.86 | $89.13 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $281.84 | $416.87 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $275.42 Typical High $354.81 | Professional | 26 · Professional part | $213.80 | $275.42 | $354.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $154.88 Typical High $331.13 | Professional | TC · Technical part | $67.61 | $154.88 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $234.42 Typical High $363.08 | Facility | None | $70.79 | $234.42 | $363.08 |
CareSource Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $67.61 | $87.10 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $741.31 | Facility | None | $354.81 | $549.54 | $741.31 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $288.40 Typical High $416.87 | Facility | 26 · Professional part | $61.66 | $288.40 | $416.87 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $91.20 Typical High $128.82 | Facility | TC · Technical part | $19.50 | $91.20 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $588.84 Typical High $2,398.83 | Professional | None (both parts) | $302.00 | $588.84 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $331.13 Typical High $1,202.26 | Professional | 26 · Professional part | $234.42 | $331.13 | $1,202.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $223.87 Typical High $691.83 | Professional | TC · Technical part | $70.79 | $223.87 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $588.84 Median $1,412.54 Typical High $4,168.69 | Facility | None | $588.84 | $1,412.54 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $549.54 Typical High $724.44 | Professional | None (both parts) | $338.84 | $549.54 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $323.59 Typical High $457.09 | Professional | 26 · Professional part | $257.04 | $323.59 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $229.09 Typical High $316.23 | Professional | TC · Technical part | $75.86 | $229.09 | $316.23 |
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 $162.18 Median $173.78 Typical High $194.98 | Professional | 52 · Reduced service | $162.18 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $69.18 Typical High $77.62 | Professional | 53 · Discontinued | $66.07 | $69.18 | $77.62 |
Where Kentucky sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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· 31st of 51
$417
WI $813UT $240
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.