How much rates vary
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 $229.09 Median $416.87 Typical High $660.69 | Facility | None | $229.09 | $416.87 | $660.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $93.33 | Facility | 26 · Professional part | $53.70 | $54.95 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $363.08 Typical High $562.34 | Facility | TC · Technical part | $158.49 | $363.08 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $354.81 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $54.95 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $501.19 | Professional | TC · Technical part | $302.00 | $363.08 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $562.34 | Professional | None (both parts) | $416.87 | $478.63 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $67.61 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $165.96 | $316.23 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $57.54 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $109.65 | $234.42 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $346.74 Typical High $537.03 | Facility | None | $52.48 | $346.74 | $537.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $51.29 | $346.74 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.45 Median $66.07 Typical High $95.50 | Facility | 26 · Professional part | $14.45 | $66.07 | $95.50 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $467.74 Typical High $660.69 | Facility | TC · Technical part | $100.00 | $467.74 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $467.74 Typical High $2,344.23 | Professional | None (both parts) | $223.87 | $467.74 | $2,344.23 |
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 $162.18 Median $389.05 Typical High $2,041.74 | Professional | TC · Technical part | $162.18 | $389.05 | $2,041.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $114.82 | Professional | None (both parts) | $33.11 | $33.11 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $338.84 Typical High $758.58 | Professional | None (both parts) | $181.97 | $338.84 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $57.54 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $275.42 Typical High $645.65 | Professional | TC · Technical part | $131.83 | $275.42 | $645.65 |
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 $186.21 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $83.18 Typical High $87.10 | Professional | 53 · Discontinued | $74.13 | $83.18 | $87.10 |
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
$316
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.