How much rates vary
Facilitymedian $26 · 10th to 90th $12 to $48Professionalmedian $31 · 10th to 90th $23 to $43
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 $25.12 Median $25.70 Typical High $47.86 | Facility | None | $25.12 | $25.70 | $47.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $8.13 Typical High $14.45 | Facility | 26 · Professional part | $7.76 | $8.13 | $14.45 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $33.11 | Facility | TC · Technical part | $16.98 | $17.78 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $25.12 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $10.00 | Professional | 26 · Professional part | $7.76 | $7.94 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $29.51 | Professional | TC · Technical part | $16.98 | $17.78 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $33.88 | Professional | None (both parts) | $22.91 | $26.92 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $11.22 | Professional | 26 · Professional part | $8.71 | $10.23 | $11.22 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $27.54 | $33.11 | $42.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $12.88 | Professional | 26 · Professional part | $7.08 | $8.91 | $12.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $30.20 | Professional | TC · Technical part | $19.95 | $23.99 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $16.98 Typical High $32.36 | Facility | None | $7.59 | $16.98 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $17.78 Typical High $26.92 | Professional | None (both parts) | $7.59 | $17.78 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.14 Median $9.77 Typical High $14.13 | Facility | 26 · Professional part | $2.14 | $9.77 | $14.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.01 Median $23.44 Typical High $33.11 | Facility | TC · Technical part | $5.01 | $23.44 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $36.31 Typical High $186.21 | Professional | None (both parts) | $24.55 | $36.31 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $41.69 | Professional | 26 · Professional part | $7.76 | $9.55 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.92 Typical High $102.33 | Professional | TC · Technical part | $16.98 | $26.92 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $18.20 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $28.18 | $33.11 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $13.18 | Professional | 26 · Professional part | $7.24 | $8.32 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $37.15 | Professional | TC · Technical part | $20.89 | $25.12 | $37.15 |
3 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 $12.59 Median $12.59 Typical High $13.80 | Professional | 52 · Reduced service | $12.59 | $12.59 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.13 Typical High $5.50 | Professional | 53 · Discontinued | $5.01 | $5.13 | $5.50 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $26.30 Median $40.74 Typical High $40.74 | Professional | 59 · Distinct service | $26.30 | $40.74 | $40.74 |
Where Kentucky sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 39th of 51
$30.90
MN $67.61TX $26.92
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.