How much rates vary
Facilitymedian $257 · 10th to 90th $191 to $617Professionalmedian $263 · 10th to 90th $219 to $447
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 $194.98 Median $245.47 Typical High $269.15 | Facility | None | $194.98 | $245.47 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $245.47 | $269.15 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $26.92 | $29.51 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $331.13 | Professional | TC · Technical part | $218.78 | $239.88 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $218.78 | $257.04 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $26.30 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $190.55 | $229.09 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $229.09 Typical High $363.08 | Facility | None | $27.54 | $229.09 | $363.08 |
CareSource Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $45.71 | Professional | None (both parts) | $27.54 | $37.15 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $1,071.52 | Facility | None | $338.84 | $457.09 | $1,071.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $38.90 Typical High $58.88 | Facility | 26 · Professional part | $24.55 | $38.90 | $58.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $281.84 Typical High $407.38 | Facility | TC · Technical part | $60.26 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $776.25 Typical High $1,380.38 | Professional | None (both parts) | $229.09 | $776.25 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $29.51 | $85.11 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $691.83 Typical High $1,258.93 | Professional | TC · Technical part | $199.53 | $691.83 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $281.84 | Professional | None (both parts) | $33.11 | $33.11 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $223.87 | $354.81 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $38.02 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $323.59 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $323.59 | $407.38 |
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 $123.03 Median $131.83 Typical High $181.97 | Professional | 52 · Reduced service | $123.03 | $131.83 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $74.13 | Professional | 53 · Discontinued | $48.98 | $53.70 | $74.13 |
Where Kentucky sits
The same service costs 4.5 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
$263
AK $1,175KY $263
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.