How much rates vary
Facilitymedian $148 · 10th to 90th $35 to $288Professionalmedian $162 · 10th to 90th $132 to $275
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 $131.83 Median $147.91 Typical High $204.17 | Facility | None | $131.83 | $147.91 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $32.36 | Facility | 26 · Professional part | $22.91 | $23.44 | $32.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $173.78 | Facility | TC · Technical part | $100.00 | $123.03 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $141.25 | $147.91 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $22.39 | $23.44 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $123.03 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | 26 · Professional part | $23.99 | $23.99 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $131.83 | $162.18 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $23.44 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $104.71 | $134.90 | $177.83 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $117.49 Typical High $186.21 | Facility | None | $21.38 | $117.49 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.88 Median $29.51 Typical High $34.67 | Professional | None (both parts) | $21.88 | $29.51 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $478.63 | Facility | None | $263.03 | $263.03 | $478.63 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $32.36 Typical High $47.86 | Facility | 26 · Professional part | $19.95 | $32.36 | $47.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $154.88 Typical High $218.78 | Facility | TC · Technical part | $33.11 | $154.88 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $229.09 Typical High $812.83 | Professional | None (both parts) | $141.25 | $229.09 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $138.04 | Professional | 26 · Professional part | $22.39 | $32.36 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $204.17 Typical High $724.44 | Professional | TC · Technical part | $120.23 | $204.17 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $33.11 | $33.11 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $158.49 | $208.93 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $26.92 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $134.90 | $177.83 | $251.19 |
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 $70.79 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $29.51 | $30.90 |
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
$162
AK $417UT $126
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.