How much rates vary
Facilitymedian $204 · 10th to 90th $54 to $437Professionalmedian $209 · 10th to 90th $186 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 $186.21 Median $204.17 Typical High $213.80 | Facility | None | $186.21 | $204.17 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $186.21 | $204.17 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $35.48 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $169.82 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $169.82 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $194.98 | $204.17 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $42.66 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $162.18 Typical High $257.04 | Professional | TC · Technical part | $151.36 | $162.18 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $162.18 Typical High $257.04 | Facility | None | $33.88 | $162.18 | $257.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $33.88 | $45.71 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $794.33 | Facility | None | $245.47 | $346.74 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $48.98 Typical High $72.44 | Facility | 26 · Professional part | $12.02 | $48.98 | $72.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $204.17 Typical High $288.40 | Facility | TC · Technical part | $43.65 | $204.17 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $204.17 | $602.56 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $104.71 Typical High $190.55 | Professional | 26 · Professional part | $37.15 | $104.71 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $489.78 Typical High $891.25 | Professional | TC · Technical part | $169.82 | $489.78 | $891.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $218.78 | Professional | None (both parts) | $33.11 | $33.11 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $194.98 | $275.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $46.77 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $229.09 | $288.40 |
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 $93.33 Median $102.33 Typical High $141.25 | Professional | 52 · Reduced service | $93.33 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $40.74 Typical High $56.23 | Professional | 53 · Discontinued | $37.15 | $40.74 | $56.23 |
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· 50th of 51
$209
AK $933FL $204
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.