How much rates vary
Facilitymedian $39 · 10th to 90th $18 to $316Professionalmedian $74 · 10th to 90th $35 to $427
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 $35.48 Median $38.90 Typical High $316.23 | Facility | None | $35.48 | $38.90 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $81.28 | Professional | None (both parts) | $35.48 | $38.90 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $19.95 | $21.88 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $16.98 Typical High $43.65 | Professional | TC · Technical part | $15.49 | $16.98 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $63.10 Typical High $426.58 | Professional | None (both parts) | $37.15 | $63.10 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $21.88 | $28.18 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.92 Typical High $380.19 | Professional | TC · Technical part | $16.98 | $26.92 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $23.99 Typical High $42.66 | Facility | None | $16.60 | $23.99 | $42.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.22 Median $21.88 Typical High $26.92 | Professional | None (both parts) | $16.22 | $21.88 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $138.04 | Facility | None | $39.81 | $69.18 | $138.04 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.89 Median $27.54 Typical High $38.90 | Facility | 26 · Professional part | $5.89 | $27.54 | $38.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $4.47 Median $20.89 Typical High $30.20 | Facility | TC · Technical part | $4.47 | $20.89 | $30.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $512.86 Typical High $1,258.93 | Professional | None (both parts) | $45.71 | $512.86 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $23.99 | $64.57 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $19.95 | $446.68 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | None (both parts) | $33.11 | $33.11 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $100.00 Typical High $213.80 | Professional | None (both parts) | $44.67 | $100.00 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $22.91 | $29.51 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $69.18 Typical High $186.21 | Professional | TC · Technical part | $19.50 | $69.18 | $186.21 |
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 $17.78 Median $19.50 Typical High $29.51 | Professional | 52 · Reduced service | $17.78 | $19.50 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.76 Typical High $11.75 | Professional | 53 · Discontinued | $7.08 | $7.76 | $11.75 |
Where Kentucky sits
The same service costs 7.2 times more in Alabama than in Florida. 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· 26th of 51
$64.57
AL $251FL $34.67
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.