How much rates vary
Facilitymedian $72 · 10th to 90th $28 to $126Professionalmedian $81 · 10th to 90th $68 to $148
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 $67.61 Median $72.44 Typical High $93.33 | Facility | None | $67.61 | $72.44 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $95.50 | Professional | None (both parts) | $67.61 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $33.88 | Professional | 26 · Professional part | $23.44 | $25.70 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $43.65 | $47.86 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $67.61 | $81.28 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $31.62 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $56.23 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $24.55 Median $45.71 Typical High $79.43 | Facility | None | $24.55 | $45.71 | $79.43 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $40.74 | Professional | None (both parts) | $26.30 | $34.67 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $30.90 Typical High $44.67 | Facility | 26 · Professional part | $6.61 | $30.90 | $44.67 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $12.30 Median $57.54 Typical High $83.18 | Facility | TC · Technical part | $12.30 | $57.54 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $158.49 Typical High $380.19 | Professional | None (both parts) | $70.79 | $158.49 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $27.54 | $75.86 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $45.71 | $138.04 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $79.43 | Professional | None (both parts) | $33.11 | $33.11 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $117.49 | Professional | None (both parts) | $75.86 | $93.33 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $26.30 | $33.88 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $47.86 | $61.66 | $77.62 |
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 $33.11 Median $36.31 Typical High $47.86 | Professional | 52 · Reduced service | $33.11 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $19.05 | Professional | 53 · Discontinued | $13.49 | $14.79 | $19.05 |
Where Kentucky sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 44th of 51
$81.28
AK $302FL $66.07
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.