How much rates vary
Facilitymedian $141 · 10th to 90th $20 to $339Professionalmedian $135 · 10th to 90th $98 to $251
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 $83.18 Median $131.83 Typical High $144.54 | Facility | None | $83.18 | $131.83 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $131.83 | $144.54 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.49 Typical High $17.38 | Professional | 26 · Professional part | $12.30 | $13.49 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $120.23 | $131.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $112.20 | $134.90 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $22.91 | Professional | 26 · Professional part | $12.30 | $13.18 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $151.36 | Professional | TC · Technical part | $89.13 | $123.03 | $151.36 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $125.89 Typical High $199.53 | Facility | None | $12.88 | $125.89 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.75 Median $17.38 Typical High $21.38 | Professional | None (both parts) | $11.75 | $17.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $1,071.52 | Facility | None | $190.55 | $245.47 | $1,071.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $18.62 Typical High $27.54 | Facility | 26 · Professional part | $11.48 | $18.62 | $27.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $154.88 Typical High $223.87 | Facility | TC · Technical part | $33.11 | $154.88 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $107.15 | $426.58 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $14.13 | $39.81 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $380.19 Typical High $691.83 | Professional | TC · Technical part | $91.20 | $380.19 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $102.33 | $190.55 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $13.80 | $17.78 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $81.28 | $173.78 | $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 $66.07 Median $72.44 Typical High $97.72 | Professional | 52 · Reduced service | $66.07 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $38.90 | Professional | 53 · Discontinued | $26.30 | $28.84 | $38.90 |
Where Kentucky sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 50th of 51
$135
AL $562IN $132
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.