How much rates vary
Facilitymedian $174 · 10th to 90th $63 to $295Professionalmedian $186 · 10th to 90th $162 to $355
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 $158.49 Median $173.78 Typical High $218.78 | Facility | None | $158.49 | $173.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $158.49 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $38.02 | $41.69 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $120.23 | $131.83 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $162.18 | $181.97 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $38.02 | $47.86 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $223.87 | Professional | TC · Technical part | $125.89 | $138.04 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $128.82 Typical High $199.53 | Facility | None | $39.81 | $128.82 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $38.90 | $53.70 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $794.33 | Facility | None | $295.12 | $295.12 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $48.98 Typical High $70.79 | Facility | 26 · Professional part | $10.72 | $48.98 | $70.79 |
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 $177.83 Median $363.08 Typical High $891.25 | Professional | None (both parts) | $177.83 | $363.08 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $123.03 Typical High $213.80 | Professional | 26 · Professional part | $41.69 | $123.03 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $389.05 Typical High $691.83 | Professional | TC · Technical part | $138.04 | $389.05 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $186.21 | Professional | None (both parts) | $33.11 | $33.11 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $281.84 | Professional | None (both parts) | $173.78 | $229.09 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $54.95 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $218.78 | Professional | TC · Technical part | $134.90 | $177.83 | $218.78 |
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 $79.43 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $79.43 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $31.62 | $34.67 | $46.77 |
Where Kentucky sits
The same service costs 5.0 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
$186
AK $776TX $155
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.