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 $95.50 Median $1,288.25 Typical High $1,288.25 | Facility | None | $95.50 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $199.53 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $63.10 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $138.04 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $724.44 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $724.44 | $977.24 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $83.18 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $891.25 Typical High $891.25 | Professional | TC · Technical part | $660.69 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $169.82 Median $794.33 Typical High $1,122.02 | Facility | 26 · Professional part | $169.82 | $794.33 | $1,122.02 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $12.88 Median $52.48 Typical High $77.62 | Facility | TC · Technical part | $12.88 | $52.48 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
United 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 |
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 $100.00 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $100.00 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $39.81 | $257.04 | $257.04 |
Where Kentucky sits
The same service costs 56.2 times more in Nebraska than in Montana. 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· 37th of 51
$977
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.