How much rates vary
Facilitymedian $145 · 10th to 90th $25 to $263Professionalmedian $138 · 10th to 90th $107 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 $107.15 Median $141.25 Typical High $154.88 | Facility | None | $107.15 | $141.25 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $141.25 | $154.88 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $22.91 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $120.23 | $131.83 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $117.49 | $134.90 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.95 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $19.95 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $151.36 | Professional | TC · Technical part | $97.72 | $114.82 | $151.36 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $128.82 Typical High $199.53 | Facility | None | $21.38 | $128.82 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.88 Median $29.51 Typical High $36.31 | Professional | None (both parts) | $21.88 | $29.51 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $794.33 | Facility | None | $263.03 | $263.03 | $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 $33.88 Median $158.49 Typical High $223.87 | Facility | TC · Technical part | $33.88 | $158.49 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $331.13 Typical High $812.83 | Professional | None (both parts) | $128.82 | $331.13 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $22.91 | $67.61 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $389.05 Typical High $691.83 | Professional | TC · Technical part | $100.00 | $389.05 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $165.96 | Professional | None (both parts) | $33.11 | $33.11 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $120.23 | $204.17 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $21.38 | $30.20 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $177.83 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $177.83 | $229.09 |
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 $70.79 Median $77.62 Typical High $117.49 | Professional | 52 · Reduced service | $70.79 | $77.62 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $46.77 | Professional | 53 · Discontinued | $28.18 | $30.90 | $46.77 |
Where Kentucky sits
The same service costs 5.5 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
$138
AK $759KY $138
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.