How much rates vary
Facilitymedian $355 · 10th to 90th $72 to $646Professionalmedian $275 · 10th to 90th $148 to $447
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 $194.98 Median $354.81 Typical High $562.34 | Facility | None | $194.98 | $354.81 | $562.34 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $95.50 | Facility | 26 · Professional part | $53.70 | $54.95 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $302.00 Typical High $478.63 | Facility | TC · Technical part | $123.03 | $302.00 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $323.59 | $354.81 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $54.95 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $275.42 | $302.00 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $295.12 | $354.81 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $75.86 | Professional | 26 · Professional part | $67.61 | $74.13 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $173.78 | $275.42 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $57.54 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $107.15 | $199.53 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $288.40 Typical High $457.09 | Facility | None | $52.48 | $288.40 | $457.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $51.29 | $295.12 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.13 Median $66.07 Typical High $95.50 | Facility | 26 · Professional part | $14.13 | $66.07 | $95.50 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $389.05 Typical High $549.54 | Facility | TC · Technical part | $83.18 | $389.05 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $1,995.26 | Professional | None (both parts) | $234.42 | $398.11 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $275.42 | Professional | 26 · Professional part | $53.70 | $79.43 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $338.84 Typical High $1,737.80 | Professional | TC · Technical part | $151.36 | $338.84 | $1,737.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $33.11 | $33.11 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $645.65 | Professional | None (both parts) | $177.83 | $295.12 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $58.88 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $245.47 Typical High $537.03 | Professional | TC · Technical part | $128.82 | $245.47 | $537.03 |
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 $162.18 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $162.18 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $64.57 | $70.79 | $74.13 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 50th of 51
$282
AK $794NM $269
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.