How much rates vary
Facilitymedian $219 · 10th to 90th $49 to $398Professionalmedian $229 · 10th to 90th $191 to $407
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 $190.55 Median $204.17 Typical High $223.87 | Facility | None | $190.55 | $204.17 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $204.17 | $223.87 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $29.51 | $32.36 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $177.83 | $194.98 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $194.98 | $223.87 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $33.11 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $165.96 | $194.98 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $186.21 Typical High $295.12 | Facility | None | $30.90 | $186.21 | $295.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $30.90 | $41.69 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $794.33 | Facility | None | $398.11 | $398.11 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $43.65 Typical High $66.07 | Facility | 26 · Professional part | $10.96 | $43.65 | $66.07 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $239.88 Typical High $338.84 | Facility | TC · Technical part | $51.29 | $239.88 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $501.19 Typical High $1,202.26 | Professional | None (both parts) | $223.87 | $501.19 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $95.50 Typical High $194.98 | Professional | 26 · Professional part | $36.31 | $95.50 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $562.34 Typical High $1,047.13 | Professional | TC · Technical part | $186.21 | $562.34 | $1,047.13 |
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 $218.78 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $218.78 | $309.03 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $34.67 | $42.66 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $269.15 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $269.15 | $354.81 |
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 $102.33 Median $112.20 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $44.67 Typical High $63.10 | Professional | 53 · Discontinued | $40.74 | $44.67 | $63.10 |
Where Kentucky sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 50th of 51
$229
AK $1,023TX $224
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.