How much rates vary
Facilitymedian $282 · 10th to 90th $69 to $490Professionalmedian $263 · 10th to 90th $224 to $490
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 $239.88 Median $263.03 Typical High $407.38 | Facility | None | $239.88 | $263.03 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $398.11 | Professional | None (both parts) | $263.03 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $53.70 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $331.13 | Professional | TC · Technical part | $213.80 | $245.47 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $51.29 | $51.29 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $234.42 | $263.03 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $50.12 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $181.97 | $213.80 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $234.42 Typical High $371.54 | Facility | None | $52.48 | $234.42 | $371.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $52.48 | $223.87 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,071.52 | Facility | None | $489.78 | $489.78 | $1,071.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $63.10 Typical High $91.20 | Facility | 26 · Professional part | $13.49 | $63.10 | $91.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $281.84 Typical High $398.11 | Facility | TC · Technical part | $60.26 | $281.84 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $676.08 Typical High $1,513.56 | Professional | None (both parts) | $281.84 | $676.08 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $158.49 Typical High $288.40 | Professional | 26 · Professional part | $54.95 | $158.49 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $691.83 Typical High $1,230.27 | Professional | TC · Technical part | $204.17 | $691.83 | $1,230.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $309.03 | Professional | None (both parts) | $33.11 | $33.11 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $251.19 | $389.05 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $70.79 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $323.59 Typical High $398.11 | Professional | TC · Technical part | $199.53 | $323.59 | $398.11 |
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 $131.83 Median $144.54 Typical High $199.53 | Professional | 52 · Reduced service | $131.83 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $57.54 Typical High $79.43 | Professional | 53 · Discontinued | $52.48 | $57.54 | $79.43 |
Where Kentucky sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 51st of 51
$263
AK $1,047KY $263
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.