How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $870.96 Median $870.96 Typical High $1,479.11 | Facility | None | $870.96 | $870.96 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None (both parts) | $870.96 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $117.49 | $117.49 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | TC · Technical part | $758.58 | $758.58 | $1,047.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $109.65 | $109.65 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $912.01 Typical High $1,202.26 | Professional | None (both parts) | $691.83 | $912.01 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $123.03 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $794.33 Typical High $1,071.52 | Professional | TC · Technical part | $602.56 | $794.33 | $1,071.52 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $741.31 Typical High $1,148.15 | Facility | None | $112.20 | $741.31 | $1,148.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $102.33 | $147.91 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $144.54 Typical High $204.17 | Facility | 26 · Professional part | $30.90 | $144.54 | $204.17 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $977.24 Typical High $1,380.38 | Facility | TC · Technical part | $208.93 | $977.24 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,380.38 Typical High $4,897.79 | Professional | None (both parts) | $870.96 | $1,380.38 | $4,897.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $186.21 Typical High $588.84 | Professional | 26 · Professional part | $117.49 | $186.21 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,202.26 Typical High $4,265.80 | Professional | TC · Technical part | $758.58 | $1,202.26 | $4,265.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $549.54 | Professional | None (both parts) | $33.11 | $33.11 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,071.52 Typical High $1,698.24 | Professional | None (both parts) | $851.14 | $1,071.52 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $144.54 Typical High $245.47 | Professional | 26 · Professional part | $123.03 | $144.54 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $933.25 Typical High $1,445.44 | Professional | TC · Technical part | $724.44 | $933.25 | $1,445.44 |
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 $436.52 Median $436.52 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $436.52 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $177.83 Typical High $218.78 | Professional | 53 · Discontinued | $173.78 | $177.83 | $218.78 |
Where Kentucky sits
The same service costs 2.9 times more in Alaska 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· 47th of 51
$912
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.