How much rates vary
Facilitymedian $100 · 10th to 90th $36 to $200Professionalmedian $141 · 10th to 90th $100 to $282
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 $91.20 Median $100.00 Typical High $194.98 | Facility | None | $91.20 | $100.00 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $91.20 | $100.00 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $31.62 | Professional | 26 · Professional part | $21.88 | $23.99 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $69.18 | $75.86 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $109.65 | $141.25 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $46.77 | Professional | 26 · Professional part | $25.70 | $33.88 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $104.71 | $218.78 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $74.13 Typical High $117.49 | Facility | None | $22.91 | $74.13 | $117.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.39 Median $29.51 Typical High $38.02 | Professional | None (both parts) | $22.39 | $29.51 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $616.60 | Facility | None | $109.65 | $173.78 | $616.60 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $32.36 Typical High $48.98 | Facility | 26 · Professional part | $20.42 | $32.36 | $48.98 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $93.33 Typical High $134.90 | Facility | TC · Technical part | $19.95 | $93.33 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $323.59 Typical High $794.33 | Professional | None (both parts) | $114.82 | $323.59 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $70.79 Typical High $144.54 | Professional | 26 · Professional part | $26.92 | $70.79 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $89.13 | $263.03 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $109.65 | Professional | None (both parts) | $33.11 | $33.11 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $114.82 | $144.54 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $26.30 | $31.62 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $89.13 | $114.82 | $154.88 |
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 $45.71 Median $50.12 Typical High $70.79 | Professional | 52 · Reduced service | $45.71 | $50.12 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $28.18 | Professional | 53 · Discontinued | $18.20 | $19.95 | $28.18 |
Where Kentucky sits
The same service costs 4.6 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· 40th of 51
$141
AL $479TX $105
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.