How much rates vary
Facilitymedian $162 · 10th to 90th $34 to $316Professionalmedian $162 · 10th to 90th $135 to $288
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 $147.91 Typical High $165.96 | Facility | None | $147.91 | $147.91 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $147.91 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $29.51 | Professional | 26 · Professional part | $20.42 | $22.39 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $128.82 | $141.25 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $138.04 | $158.49 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $21.88 | $26.92 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $112.20 | $131.83 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $134.90 Typical High $213.80 | Facility | None | $20.89 | $134.90 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.38 Median $27.54 Typical High $35.48 | Professional | None (both parts) | $21.38 | $27.54 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $794.33 | Facility | None | $281.84 | $281.84 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.05 Median $30.90 Typical High $45.71 | Facility | 26 · Professional part | $19.05 | $30.90 | $45.71 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $169.82 Typical High $239.88 | Facility | TC · Technical part | $36.31 | $169.82 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $338.84 Typical High $851.14 | Professional | None (both parts) | $162.18 | $338.84 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $22.39 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $407.38 Typical High $758.58 | Professional | TC · Technical part | $134.90 | $407.38 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $177.83 | Professional | None (both parts) | $33.11 | $33.11 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $144.54 | $213.80 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $21.38 | $28.84 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $234.42 | Professional | TC · Technical part | $123.03 | $186.21 | $234.42 |
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 $74.13 Median $81.28 Typical High $109.65 | Professional | 52 · Reduced service | $74.13 | $81.28 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $43.65 | Professional | 53 · Discontinued | $29.51 | $32.36 | $43.65 |
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
$162
AK $741KY $162
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.