How much rates vary
Facilitymedian $355 · 10th to 90th $52 to $813Professionalmedian $339 · 10th to 90th $269 to $631
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 $269.15 Median $323.59 Typical High $354.81 | Facility | None | $269.15 | $323.59 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $323.59 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $31.62 | $34.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $295.12 | $323.59 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $288.40 | $338.84 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $30.90 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $257.04 | $302.00 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $316.23 Typical High $489.78 | Facility | None | $32.36 | $316.23 | $489.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $53.70 | Professional | None (both parts) | $33.11 | $44.67 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $2,630.27 | Facility | None | $467.74 | $602.56 | $2,630.27 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $45.71 Typical High $69.18 | Facility | 26 · Professional part | $11.48 | $45.71 | $69.18 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $389.05 Typical High $549.54 | Facility | TC · Technical part | $83.18 | $389.05 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,047.13 Typical High $1,862.09 | Professional | None (both parts) | $316.23 | $1,047.13 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $34.67 | $100.00 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $954.99 Typical High $1,698.24 | Professional | TC · Technical part | $263.03 | $954.99 | $1,698.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $380.19 | Professional | None (both parts) | $33.11 | $33.11 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $478.63 Typical High $616.60 | Professional | None (both parts) | $302.00 | $478.63 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $44.67 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $446.68 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $446.68 | $562.34 |
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 $162.18 Median $177.83 Typical High $251.19 | Professional | 52 · Reduced service | $162.18 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $100.00 | Professional | 53 · Discontinued | $66.07 | $70.79 | $100.00 |
Where Kentucky sits
The same service costs 4.6 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
$347
AK $1,585KY $347
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.