How much rates vary
Facilitymedian $60 · 10th to 90th $29 to $123Professionalmedian $60 · 10th to 90th $48 to $178
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 $58.88 Median $60.26 Typical High $169.82 | Facility | None | $58.88 | $60.26 | $169.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $48.98 | Facility | 26 · Professional part | $26.30 | $26.92 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $33.11 Typical High $131.83 | Facility | TC · Technical part | $32.36 | $33.11 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $74.13 | Professional | None (both parts) | $57.54 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $31.62 | Professional | 26 · Professional part | $26.30 | $26.92 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $39.81 | Professional | TC · Technical part | $31.62 | $33.11 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $63.10 Typical High $177.83 | Professional | None (both parts) | $47.86 | $63.10 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $30.90 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $138.04 | Professional | TC · Technical part | $23.44 | $33.11 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $31.62 Typical High $64.57 | Facility | None | $25.12 | $31.62 | $64.57 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $23.99 | $30.20 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $33.88 Typical High $48.98 | Facility | 26 · Professional part | $7.24 | $33.88 | $48.98 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $9.55 Median $44.67 Typical High $64.57 | Facility | TC · Technical part | $9.55 | $44.67 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $676.08 | Professional | None (both parts) | $57.54 | $67.61 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $138.04 | Professional | 26 · Professional part | $26.30 | $33.88 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.88 Typical High $199.53 | Professional | TC · Technical part | $30.20 | $33.88 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $57.54 Typical High $91.20 | Professional | None (both parts) | $50.12 | $57.54 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $28.84 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $29.51 | $47.86 |
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 $28.84 Median $29.51 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $11.75 | $12.02 |
Where Kentucky sits
The same service costs 3.6 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· 45th of 51
$60.26
MN $141TX $38.90
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.