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 $1,548.82 Median $1,584.89 Typical High $1,621.81 | Facility | None | $1,548.82 | $1,584.89 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,621.81 Typical High $1,905.46 | Professional | None (both parts) | $1,548.82 | $1,621.81 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $316.23 Typical High $398.11 | Professional | 26 · Professional part | $309.03 | $316.23 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,288.25 Typical High $1,479.11 | Professional | TC · Technical part | $1,230.27 | $1,288.25 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,318.26 Typical High $1,819.70 | Professional | None (both parts) | $1,047.13 | $1,318.26 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $316.23 Typical High $407.38 | Professional | 26 · Professional part | $239.88 | $316.23 | $407.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,047.13 Typical High $1,445.44 | Professional | TC · Technical part | $741.31 | $1,047.13 | $1,445.44 |
CareSource Setting Facility Modifier None Typical Low $295.12 Median $1,230.27 Typical High $1,949.84 | Facility | None | $295.12 | $1,230.27 | $1,949.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $302.00 | $389.05 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $3,630.78 | Facility | None | $1,949.84 | $3,090.30 | $3,630.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $398.11 Typical High $562.34 | Facility | 26 · Professional part | $85.11 | $398.11 | $562.34 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $1,778.28 Typical High $2,570.40 | Facility | TC · Technical part | $380.19 | $1,778.28 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,089.30 Typical High $9,549.93 | Professional | None (both parts) | $1,412.54 | $2,089.30 | $9,549.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $457.09 Typical High $1,621.81 | Professional | 26 · Professional part | $309.03 | $457.09 | $1,621.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,659.59 Typical High $7,943.28 | Professional | TC · Technical part | $1,047.13 | $1,659.59 | $7,943.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $147.91 | Professional | None (both parts) | $33.11 | $33.11 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $3,311.31 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $3,311.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $331.13 Typical High $645.65 | Professional | 26 · Professional part | $275.42 | $331.13 | $645.65 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,202.26 Typical High $2,691.53 | Professional | TC · Technical part | $812.83 | $1,202.26 | $2,691.53 |
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 $776.25 Median $812.83 Typical High $870.96 | Professional | 52 · Reduced service | $776.25 | $812.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $323.59 Typical High $346.74 | Professional | 53 · Discontinued | $316.23 | $323.59 | $346.74 |
Where Kentucky sits
The same service costs 3.2 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· 49th of 51
$1,479
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.