How much rates vary
Facilitymedian $87 · 10th to 90th $37 to $148Professionalmedian $141 · 10th to 90th $83 to $195
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 $79.43 Median $87.10 Typical High $104.71 | Facility | None | $79.43 | $87.10 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $79.43 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $30.90 | $33.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $48.98 | $53.70 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $117.49 | $144.54 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $38.02 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $128.82 | Professional | TC · Technical part | $85.11 | $109.65 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $70.79 Typical High $162.18 | Facility | None | $33.11 | $70.79 | $162.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $45.71 Typical High $53.70 | Professional | None (both parts) | $35.48 | $45.71 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $39.81 Typical High $57.54 | Facility | 26 · Professional part | $8.51 | $39.81 | $57.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $63.10 Typical High $91.20 | Facility | TC · Technical part | $13.49 | $63.10 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $87.10 | $169.82 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $63.10 Typical High $165.96 | Professional | 26 · Professional part | $33.88 | $63.10 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $107.15 Typical High $281.84 | Professional | TC · Technical part | $52.48 | $107.15 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $89.13 | Professional | None (both parts) | $33.11 | $33.11 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $81.28 | $93.33 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $30.20 | $35.48 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $51.29 | $56.23 | $102.33 |
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 $39.81 Median $43.65 Typical High $52.48 | Professional | 52 · Reduced service | $39.81 | $43.65 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.38 Typical High $20.89 | Professional | 53 · Discontinued | $15.85 | $17.38 | $20.89 |
Where Kentucky sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 7th of 51
$141
AK $282OR $61.66
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.