How much rates vary
Facilitymedian $48 · 10th to 90th $38 to $955Professionalmedian $39 · 10th to 90th $33 to $62
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 $38.02 Median $39.81 Typical High $46.77 | Facility | None | $38.02 | $39.81 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $50.12 | Professional | None (both parts) | $38.02 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $25.12 | Professional | 26 · Professional part | $19.50 | $23.99 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $24.55 | Professional | TC · Technical part | $19.05 | $22.91 | $24.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $52.48 | Professional | None (both parts) | $26.92 | $38.90 | $52.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $19.05 | $22.39 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $20.89 | Professional | TC · Technical part | $13.80 | $16.22 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $549.54 Typical High $1,202.26 | Facility | None | $53.70 | $549.54 | $1,202.26 |
CareSource Setting Professional Modifier None (both parts) Typical Low $66.07 Median $501.19 Typical High $1,174.90 | Professional | None (both parts) | $66.07 | $501.19 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $31.62 Typical High $45.71 | Facility | 26 · Professional part | $6.76 | $31.62 | $45.71 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.61 Median $30.90 Typical High $44.67 | Facility | TC · Technical part | $6.61 | $30.90 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
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 $39.81 Median $53.70 Typical High $74.13 | Professional | None (both parts) | $39.81 | $53.70 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $37.15 | Professional | 26 · Professional part | $20.42 | $27.54 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $19.50 | $25.70 | $36.31 |
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 $19.05 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $19.05 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.33 Typical High $10.00 | Professional | 53 · Discontinued | $7.76 | $9.33 | $10.00 |
Where Kentucky sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 48th of 51
$38.90
NE $105AR $25.12
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.