How much rates vary
Facilitymedian $170 · 10th to 90th $48 to $324Professionalmedian $182 · 10th to 90th $135 to $295
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 $165.96 Median $169.82 Typical High $316.23 | Facility | None | $165.96 | $169.82 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $57.54 | Facility | 26 · Professional part | $31.62 | $32.36 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $257.04 | Facility | TC · Technical part | $134.90 | $138.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $165.96 | $173.78 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $31.62 | $32.36 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $134.90 | $141.25 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $131.83 | $165.96 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $43.65 | Professional | 26 · Professional part | $36.31 | $40.74 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $141.25 | $186.21 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $27.54 | $36.31 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $112.20 | $147.91 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $134.90 Typical High $213.80 | Facility | None | $30.20 | $134.90 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $30.20 | $138.04 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $537.03 | Facility | None | $288.40 | $288.40 | $537.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $43.65 Typical High $64.57 | Facility | 26 · Professional part | $10.96 | $43.65 | $64.57 |
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 $165.96 Median $269.15 Typical High $891.25 | Professional | None (both parts) | $165.96 | $269.15 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $165.96 | Professional | 26 · Professional part | $30.90 | $42.66 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $218.78 Typical High $758.58 | Professional | TC · Technical part | $134.90 | $218.78 | $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 $186.21 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $186.21 | $239.88 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $36.31 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $154.88 | $208.93 | $288.40 |
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 $83.18 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $83.18 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $33.11 | $33.88 | $37.15 |
Where Kentucky sits
The same service costs 3.5 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 $550UT $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.