How much rates vary
Facilitymedian $195 · 10th to 90th $47 to $331Professionalmedian $214 · 10th to 90th $186 to $407
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 $177.83 Median $194.98 Typical High $239.88 | Facility | None | $177.83 | $194.98 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $177.83 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $39.81 | $42.66 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $154.88 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $186.21 | $208.93 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $51.29 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $158.49 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $147.91 Typical High $229.09 | Facility | None | $40.74 | $147.91 | $229.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $44.67 | $54.95 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $1,071.52 | Facility | None | $331.13 | $331.13 | $1,071.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $51.29 Typical High $74.13 | Facility | 26 · Professional part | $10.96 | $51.29 | $74.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $181.97 Typical High $257.04 | Facility | TC · Technical part | $38.90 | $181.97 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $436.52 Typical High $1,000.00 | Professional | None (both parts) | $199.53 | $436.52 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $125.89 Typical High $229.09 | Professional | 26 · Professional part | $43.65 | $125.89 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $446.68 Typical High $794.33 | Professional | TC · Technical part | $154.88 | $446.68 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $208.93 | Professional | None (both parts) | $33.11 | $33.11 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $323.59 | Professional | None (both parts) | $199.53 | $263.03 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $56.23 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $204.17 | $257.04 |
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 $89.13 Median $97.72 Typical High $131.83 | Professional | 52 · Reduced service | $89.13 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $52.48 | Professional | 53 · Discontinued | $35.48 | $38.90 | $52.48 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska 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· 48th of 51
$209
AK $708FL $186
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.