How much rates vary
Facilitymedian $115 · 10th to 90th $36 to $331Professionalmedian $174 · 10th to 90th $115 to $457
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 $104.71 Median $114.82 Typical High $331.13 | Facility | None | $104.71 | $114.82 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $104.71 | $114.82 | $177.83 |
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 $81.28 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $81.28 | $89.13 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $457.09 | Professional | None (both parts) | $131.83 | $173.78 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $33.88 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $407.38 | Professional | TC · Technical part | $107.15 | $141.25 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $87.10 Typical High $138.04 | Facility | None | $22.91 | $87.10 | $138.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.89 Median $30.90 Typical High $38.02 | Professional | None (both parts) | $20.89 | $30.90 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $724.44 | Facility | None | $128.82 | $199.53 | $724.44 |
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 $23.99 Median $112.20 Typical High $162.18 | Facility | TC · Technical part | $23.99 | $112.20 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $549.54 Typical High $1,348.96 | Professional | None (both parts) | $131.83 | $549.54 | $1,348.96 |
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 $104.71 Median $489.78 Typical High $549.54 | Professional | TC · Technical part | $104.71 | $489.78 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $125.89 | Professional | None (both parts) | $33.11 | $33.11 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $128.82 | $208.93 | $281.84 |
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 $102.33 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $102.33 | $173.78 | $251.19 |
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 $52.48 Median $56.23 Typical High $89.13 | Professional | 52 · Reduced service | $52.48 | $56.23 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $35.48 | Professional | 53 · Discontinued | $20.89 | $22.91 | $35.48 |
Where Kentucky sits
The same service costs 5.2 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· 38th of 51
$174
AL $550TX $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.