How much rates vary
Facilitymedian $93 · 10th to 90th $28 to $186Professionalmedian $120 · 10th to 90th $79 to $234
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 $85.11 Median $93.33 Typical High $173.78 | Facility | None | $85.11 | $93.33 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $85.11 | $93.33 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.62 Typical High $23.99 | Professional | 26 · Professional part | $16.98 | $18.62 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $69.18 | $74.13 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $87.10 | $120.23 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $18.20 | $24.55 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $67.61 | $95.50 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $72.44 Typical High $114.82 | Facility | None | $17.78 | $72.44 | $114.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.05 Median $23.99 Typical High $29.51 | Professional | None (both parts) | $19.05 | $23.99 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $602.56 | Facility | None | $107.15 | $162.18 | $602.56 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.85 Median $25.12 Typical High $38.02 | Facility | 26 · Professional part | $15.85 | $25.12 | $38.02 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $93.33 Typical High $131.83 | Facility | TC · Technical part | $19.95 | $93.33 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $281.84 Typical High $691.83 | Professional | None (both parts) | $107.15 | $281.84 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $20.89 | $54.95 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $87.10 | $234.42 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $107.15 | $131.83 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $20.42 | $24.55 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $107.15 | $134.90 |
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 $42.66 Median $46.77 Typical High $61.66 | Professional | 52 · Reduced service | $42.66 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.62 Typical High $24.55 | Professional | 53 · Discontinued | $16.98 | $18.62 | $24.55 |
Where Kentucky sits
The same service costs 5.0 times more in Alabama than in New York. 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· 44th of 51
$120
AL $479NY $95.50
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.