How much rates vary
Facilitymedian $174 · 10th to 90th $35 to $324Professionalmedian $182 · 10th to 90th $155 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 $162.18 Median $162.18 Typical High $177.83 | Facility | None | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $162.18 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $29.51 | $32.36 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $134.90 | $144.54 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $154.88 | $177.83 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $30.90 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $204.17 | Professional | TC · Technical part | $125.89 | $147.91 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $141.25 Typical High $223.87 | Facility | None | $30.90 | $141.25 | $223.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $33.88 | $41.69 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $794.33 | Facility | None | $323.59 | $323.59 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $45.71 Typical High $69.18 | Facility | 26 · Professional part | $11.48 | $45.71 | $69.18 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $186.21 Typical High $269.15 | Facility | TC · Technical part | $39.81 | $186.21 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $398.11 Typical High $1,000.00 | Professional | None (both parts) | $177.83 | $398.11 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $34.67 | $95.50 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $426.58 Typical High $831.76 | Professional | TC · Technical part | $141.25 | $426.58 | $831.76 |
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 $162.18 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $162.18 | $239.88 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $41.69 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $251.19 | Professional | TC · Technical part | $128.82 | $199.53 | $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 $81.28 Median $89.13 Typical High $120.23 | Professional | 52 · Reduced service | $81.28 | $89.13 | $120.23 |
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 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· 49th of 51
$178
AK $794TX $174
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.