How much rates vary
Facilitymedian $170 · 10th to 90th $123 to $389Professionalmedian $170 · 10th to 90th $141 to $302
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 $147.91 Median $162.18 Typical High $177.83 | Facility | None | $147.91 | $162.18 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $162.18 | $177.83 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $21.38 | $23.44 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $151.36 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $144.54 | $165.96 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $21.38 | $26.92 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $120.23 | $138.04 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $147.91 Typical High $234.42 | Facility | None | $21.88 | $147.91 | $234.42 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $36.31 | Professional | None (both parts) | $23.99 | $30.20 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $1,071.52 | Facility | None | $218.78 | $302.00 | $1,071.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.50 Median $31.62 Typical High $46.77 | Facility | 26 · Professional part | $19.50 | $31.62 | $46.77 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $186.21 Typical High $263.03 | Facility | TC · Technical part | $39.81 | $186.21 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $512.86 Typical High $933.25 | Professional | None (both parts) | $165.96 | $512.86 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $23.44 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $446.68 Typical High $812.83 | Professional | TC · Technical part | $138.04 | $446.68 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $190.55 | Professional | None (both parts) | $33.11 | $33.11 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $151.36 | $223.87 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $21.88 | $28.84 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $199.53 | $245.47 |
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 $81.28 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $81.28 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $47.86 | Professional | 53 · Discontinued | $32.36 | $35.48 | $47.86 |
Where Kentucky sits
The same service costs 4.6 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
$170
AK $776KY $170
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.