How much rates vary
Facilitymedian $62 · 10th to 90th $45 to $145Professionalmedian $69 · 10th to 90th $55 to $126
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 $50.12 Median $57.54 Typical High $63.10 | Facility | None | $50.12 | $57.54 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $83.18 | Professional | None (both parts) | $57.54 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.59 Typical High $10.00 | Professional | 26 · Professional part | $7.08 | $7.59 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $72.44 | Professional | TC · Technical part | $50.12 | $54.95 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $58.88 | $67.61 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $15.14 | Professional | 26 · Professional part | $8.13 | $10.47 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $75.86 | Professional | TC · Technical part | $47.86 | $58.88 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $7.24 Median $53.70 Typical High $85.11 | Facility | None | $7.24 | $53.70 | $85.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.94 Median $9.77 Typical High $12.02 | Professional | None (both parts) | $7.94 | $9.77 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $446.68 | Facility | None | $79.43 | $112.20 | $446.68 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $11.75 Typical High $15.85 | Facility | 26 · Professional part | $10.47 | $11.75 | $15.85 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $14.79 Median $69.18 Typical High $97.72 | Facility | TC · Technical part | $14.79 | $69.18 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $60.26 | $186.21 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $22.39 Typical High $45.71 | Professional | 26 · Professional part | $8.71 | $22.39 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $50.12 | $162.18 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $33.11 | $33.11 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $79.43 Typical High $109.65 | Professional | None (both parts) | $54.95 | $79.43 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $13.49 | Professional | 26 · Professional part | $8.32 | $10.23 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $48.98 | $69.18 | $97.72 |
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 $28.84 Median $31.62 Typical High $40.74 | Professional | 52 · Reduced service | $28.84 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $16.60 | Professional | 53 · Discontinued | $11.48 | $12.59 | $16.60 |
Where Kentucky sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 48th of 51
$67.61
AL $513IN $63.10
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.