How much rates vary
Facilitymedian $240 · 10th to 90th $81 to $457Professionalmedian $245 · 10th to 90th $186 to $427
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 $234.42 Median $239.88 Typical High $407.38 | Facility | None | $234.42 | $239.88 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $112.20 | Facility | 26 · Professional part | $52.48 | $53.70 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $354.81 | Facility | TC · Technical part | $181.97 | $186.21 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $234.42 | $245.47 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $53.70 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $177.83 | $186.21 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $234.42 | $245.47 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $67.61 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $186.21 | $245.47 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $93.33 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $131.83 | $158.49 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $181.97 Typical High $309.03 | Facility | None | $51.29 | $181.97 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $50.12 | $186.21 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $724.44 | Facility | None | $407.38 | $407.38 | $724.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $63.10 Typical High $89.13 | Facility | 26 · Professional part | $13.49 | $63.10 | $89.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $223.87 Typical High $323.59 | Facility | TC · Technical part | $47.86 | $223.87 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $416.87 Typical High $1,318.26 | Professional | None (both parts) | $257.04 | $416.87 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $107.15 Typical High $436.52 | Professional | 26 · Professional part | $52.48 | $107.15 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $1,000.00 | Professional | TC · Technical part | $186.21 | $309.03 | $1,000.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $131.83 | Professional | None (both parts) | $33.11 | $33.11 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $275.42 | $354.81 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $89.13 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $269.15 | $380.19 |
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 $117.49 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $117.49 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $52.48 | Professional | 53 · Discontinued | $46.77 | $48.98 | $52.48 |
Where Kentucky sits
The same service costs 3.3 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
$245
MN $676UT $204
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.