How much rates vary
Facilitymedian $263 · 10th to 90th $47 to $631Professionalmedian $275 · 10th to 90th $229 to $490
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 $245.47 Median $251.19 Typical High $269.15 | Facility | None | $245.47 | $251.19 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $251.19 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $28.18 | $30.90 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $338.84 | Professional | TC · Technical part | $218.78 | $239.88 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $234.42 | $275.42 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $51.29 | Professional | 26 · Professional part | $29.51 | $37.15 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $354.81 | Professional | TC · Technical part | $199.53 | $239.88 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $234.42 Typical High $371.54 | Facility | None | $29.51 | $234.42 | $371.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $48.98 | Professional | None (both parts) | $26.92 | $39.81 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $1,071.52 | Facility | None | $346.74 | $467.74 | $1,071.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $41.69 Typical High $63.10 | Facility | 26 · Professional part | $10.47 | $41.69 | $63.10 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $288.40 Typical High $407.38 | Facility | TC · Technical part | $61.66 | $288.40 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $794.33 Typical High $1,412.54 | Professional | None (both parts) | $275.42 | $794.33 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $30.90 | $91.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $707.95 Typical High $1,258.93 | Professional | TC · Technical part | $239.88 | $707.95 | $1,258.93 |
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 $245.47 Median $371.54 Typical High $457.09 | Professional | None (both parts) | $245.47 | $371.54 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $40.74 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $407.38 | Professional | TC · Technical part | $213.80 | $331.13 | $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 $134.90 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $75.86 | Professional | 53 · Discontinued | $50.12 | $54.95 | $75.86 |
Where Kentucky sits
The same service costs 4.4 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
$275
AK $1,202KY $275
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.