How much rates vary
Facilitymedian $182 · 10th to 90th $33 to $355Professionalmedian $145 · 10th to 90th $115 to $871
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 $112.20 Median $181.97 Typical High $199.53 | Facility | None | $112.20 | $181.97 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $173.78 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.38 Typical High $30.90 | Professional | 26 · Professional part | $19.95 | $21.38 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $194.98 | Professional | TC · Technical part | $154.88 | $173.78 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $870.96 | Professional | None (both parts) | $117.49 | $141.25 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $316.23 | Professional | 26 · Professional part | $19.50 | $26.92 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $549.54 | Professional | TC · Technical part | $91.20 | $114.82 | $549.54 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $162.18 Typical High $239.88 | Facility | None | $20.89 | $162.18 | $239.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.84 Typical High $33.88 | Professional | None (both parts) | $22.39 | $28.84 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $354.81 | Facility | None | $194.98 | $354.81 | $354.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $30.20 Typical High $45.71 | Facility | 26 · Professional part | $7.59 | $30.20 | $45.71 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $223.87 Typical High $316.23 | Facility | TC · Technical part | $47.86 | $223.87 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $316.23 Typical High $1,096.48 | Professional | None (both parts) | $173.78 | $316.23 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $42.66 Typical High $154.88 | Professional | 26 · Professional part | $21.38 | $42.66 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $288.40 Typical High $1,000.00 | Professional | TC · Technical part | $134.90 | $288.40 | $1,000.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $125.89 | $173.78 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $35.48 | Professional | 26 · Professional part | $20.89 | $25.12 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $245.47 | Professional | TC · Technical part | $102.33 | $147.91 | $245.47 |
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 $85.11 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $42.66 | Professional | 53 · Discontinued | $34.67 | $38.90 | $42.66 |
Where Kentucky sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 51st of 51
$155
AK $661KY $155
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.