How much rates vary
Facilitymedian $174 · 10th to 90th $56 to $331Professionalmedian $182 · 10th to 90th $138 to $288
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 $169.82 Median $173.78 Typical High $275.42 | Facility | None | $169.82 | $173.78 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $52.48 | Facility | 26 · Professional part | $36.31 | $37.15 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $257.04 | Facility | TC · Technical part | $131.83 | $138.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $169.82 | $173.78 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $37.15 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $138.04 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $173.78 | $218.78 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $46.77 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,348.96 | Facility | None | $1,318.26 | $1,318.26 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $138.04 | $181.97 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $32.36 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $112.20 | $147.91 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $131.83 Typical High $218.78 | Facility | None | $35.48 | $131.83 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $34.67 | $138.04 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $524.81 | Facility | None | $302.00 | $302.00 | $524.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $51.29 Typical High $75.86 | Facility | 26 · Professional part | $12.59 | $51.29 | $75.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $165.96 Typical High $234.42 | Facility | TC · Technical part | $35.48 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $912.01 | Professional | None (both parts) | $169.82 | $269.15 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $181.97 | Professional | 26 · Professional part | $34.67 | $43.65 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $758.58 | Professional | TC · Technical part | $134.90 | $223.87 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $144.54 | Professional | None (both parts) | $33.11 | $33.11 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $190.55 | $234.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $32.36 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $154.88 | $204.17 | $281.84 |
3 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 $85.11 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $85.11 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $33.88 | $34.67 | $38.02 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 59 · Distinct service | $173.78 | $173.78 | $173.78 |
Where Kentucky sits
The same service costs 3.2 times more in Minnesota 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· 47th of 51
$182
MN $501UT $158
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.