How much rates vary
Facilitymedian $141 · 10th to 90th $39 to $263Professionalmedian $170 · 10th to 90th $138 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 $131.83 Median $141.25 Typical High $154.88 | Facility | None | $131.83 | $141.25 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $131.83 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $35.48 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $97.72 | $107.15 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $141.25 | $169.82 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $41.69 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $162.18 | Professional | TC · Technical part | $104.71 | $128.82 | $162.18 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $104.71 Typical High $162.18 | Facility | None | $32.36 | $104.71 | $162.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $54.95 | Professional | None (both parts) | $33.88 | $45.71 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $870.96 | Facility | None | $263.03 | $263.03 | $870.96 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $47.86 Typical High $72.44 | Facility | 26 · Professional part | $12.02 | $47.86 | $72.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $144.54 Typical High $204.17 | Facility | TC · Technical part | $30.90 | $144.54 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $323.59 Typical High $812.83 | Professional | None (both parts) | $138.04 | $323.59 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $35.48 | $102.33 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $316.23 Typical High $630.96 | Professional | TC · Technical part | $104.71 | $316.23 | $630.96 |
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 $141.25 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $141.25 | $194.98 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $44.67 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $114.82 | $151.36 | $208.93 |
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 $64.57 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $64.57 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $40.74 | Professional | 53 · Discontinued | $26.30 | $28.84 | $40.74 |
Where Kentucky sits
The same service costs 4.8 times more in Alabama 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· 47th of 51
$170
AL $661TX $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.