How much rates vary
Facilitymedian $148 · 10th to 90th $30 to $339Professionalmedian $158 · 10th to 90th $129 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 $138.04 Median $144.54 Typical High $151.36 | Facility | None | $138.04 | $144.54 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $138.04 | $151.36 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $26.30 | Professional | 26 · Professional part | $18.20 | $19.95 | $26.30 |
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 $134.90 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $134.90 | $158.49 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $33.88 | Professional | 26 · Professional part | $19.50 | $23.44 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $131.83 | $213.80 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $125.89 Typical High $199.53 | Facility | None | $19.05 | $125.89 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $17.38 Median $25.70 Typical High $31.62 | Professional | None (both parts) | $17.38 | $25.70 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $263.03 Typical High $794.33 | Facility | None | $190.55 | $263.03 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $26.92 Typical High $40.74 | Facility | 26 · Professional part | $16.98 | $26.92 | $40.74 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $158.49 Typical High $229.09 | Facility | TC · Technical part | $33.88 | $158.49 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $436.52 Typical High $794.33 | Professional | None (both parts) | $147.91 | $436.52 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $20.42 | $58.88 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $380.19 Typical High $707.95 | Professional | TC · Technical part | $128.82 | $380.19 | $707.95 |
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 $134.90 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $134.90 | $199.53 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $19.50 | $26.30 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $218.78 | Professional | TC · Technical part | $114.82 | $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 $69.18 Median $75.86 Typical High $102.33 | Professional | 52 · Reduced service | $69.18 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $30.20 | $41.69 |
Where Kentucky sits
The same service costs 4.7 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· 48th of 51
$158
AK $676TX $145
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.