How much rates vary
Facilitymedian $65 · 10th to 90th $14 to $145Professionalmedian $76 · 10th to 90th $62 to $158
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 $58.88 Median $64.57 Typical High $85.11 | Facility | None | $58.88 | $64.57 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $64.57 Typical High $85.11 | Professional | None (both parts) | $58.88 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $12.02 | Professional | 26 · Professional part | $8.51 | $9.33 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $72.44 | Professional | TC · Technical part | $51.29 | $54.95 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $64.57 | $75.86 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $12.59 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $60.26 | $63.10 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $53.70 Typical High $85.11 | Facility | None | $8.71 | $53.70 | $85.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $12.02 Typical High $14.79 | Professional | None (both parts) | $8.13 | $12.02 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $114.82 Typical High $446.68 | Facility | None | $79.43 | $114.82 | $446.68 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $18.62 | Facility | 26 · Professional part | $10.72 | $13.18 | $18.62 |
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 $72.44 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $72.44 | $190.55 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $10.23 | $27.54 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $60.26 | $162.18 | $309.03 |
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 $70.79 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $70.79 | $81.28 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $12.30 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $100.00 | Professional | TC · Technical part | $60.26 | $74.13 | $100.00 |
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 $29.51 Median $32.36 Typical High $42.66 | Professional | 52 · Reduced service | $29.51 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.88 Typical High $16.98 | Professional | 53 · Discontinued | $11.75 | $12.88 | $16.98 |
Where Kentucky sits
The same service costs 7.2 times more in Alabama 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· 47th of 51
$75.86
AL $479TX $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.