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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $51.29 | $51.29 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $22.91 | Professional | None (both parts) | $20.42 | $20.42 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $95.50 | Facility | None | $51.29 | $69.18 | $95.50 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $51.29 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $74.13 Typical High $120.23 | Facility | None | $44.67 | $74.13 | $120.23 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $10.47 Median $48.98 Typical High $69.18 | Facility | TC · Technical part | $10.47 | $48.98 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $56.23 | $245.47 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.90 Typical High $81.28 | Professional | None (both parts) | $22.39 | $30.90 | $81.28 |
4 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 $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $48.98 Median $51.29 Typical High $83.18 | Professional | QW · Waived lab test | $48.98 | $51.29 | $83.18 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $45.71 Typical High $64.57 | Facility | 26 · Professional part | $9.77 | $45.71 | $64.57 |
Where Kentucky sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 24th of 51
$51.29
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.