How much rates vary
Facilitymedian $120 · 10th to 90th $32 to $234Professionalmedian $138 · 10th to 90th $100 to $204
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 $117.49 Median $120.23 Typical High $223.87 | Facility | None | $117.49 | $120.23 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $38.02 | Facility | 26 · Professional part | $20.42 | $22.39 | $38.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $194.98 | Facility | TC · Technical part | $91.20 | $100.00 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $117.49 | $120.23 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $33.11 | Professional | 26 · Professional part | $20.42 | $20.89 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $100.00 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $25.70 | $25.70 | $26.92 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $104.71 | $138.04 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $33.11 | Professional | 26 · Professional part | $17.78 | $23.99 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $87.10 | $109.65 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $95.50 Typical High $151.36 | Facility | None | $19.95 | $95.50 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.50 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $19.50 | $100.00 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $380.19 | Facility | None | $208.93 | $208.93 | $380.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $28.84 Typical High $43.65 | Facility | 26 · Professional part | $7.24 | $28.84 | $43.65 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $123.03 Typical High $173.78 | Facility | TC · Technical part | $26.30 | $123.03 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $660.69 | Professional | None (both parts) | $114.82 | $190.55 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $131.83 | Professional | 26 · Professional part | $20.42 | $28.18 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $162.18 Typical High $575.44 | Professional | TC · Technical part | $95.50 | $162.18 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $33.11 | $33.11 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $128.82 | $173.78 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $23.99 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $109.65 | $144.54 | $204.17 |
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 $58.88 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $58.88 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $23.44 | $23.99 | $24.55 |
Where Kentucky sits
The same service costs 3.3 times more in Alaska 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· 46th of 51
$138
AK $316UT $95.50
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.