How much rates vary
Facilitymedian $126 · 10th to 90th $34 to $224Professionalmedian $123 · 10th to 90th $89 to $214
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 $120.23 Median $123.03 Typical High $194.98 | Facility | None | $120.23 | $123.03 | $194.98 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $35.48 | Facility | 26 · Professional part | $21.88 | $23.44 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $181.97 | Facility | TC · Technical part | $97.72 | $100.00 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $120.23 | $123.03 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $22.39 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $100.00 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $117.49 | $138.04 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $25.70 | Professional | 26 · Professional part | $7.59 | $7.59 | $25.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $89.13 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $20.89 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $81.28 | $93.33 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $104.71 Typical High $165.96 | Facility | None | $21.38 | $104.71 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.89 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $20.89 | $109.65 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $416.87 | Facility | None | $204.17 | $204.17 | $416.87 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $30.20 Typical High $45.71 | Facility | 26 · Professional part | $7.59 | $30.20 | $45.71 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $117.49 Typical High $165.96 | Facility | TC · Technical part | $25.12 | $117.49 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $691.83 | Professional | None (both parts) | $128.82 | $199.53 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $107.15 | Professional | 26 · Professional part | $21.88 | $26.92 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $630.96 | Professional | TC · Technical part | $107.15 | $173.78 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $33.11 | $33.11 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $138.04 | $190.55 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $18.20 | $20.89 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $162.18 | $223.87 |
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 $63.10 | Professional | 52 · Reduced service | $58.88 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $23.99 | $23.99 | $25.12 |
Where Kentucky sits
The same service costs 3.7 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· 48th of 51
$123
AK $355UT $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.