How much rates vary
Facilitymedian $89 · 10th to 90th $25 to $191Professionalmedian $93 · 10th to 90th $81 to $174
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 $81.28 Median $89.13 Typical High $95.50 | Facility | None | $81.28 | $89.13 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $81.28 | $89.13 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.60 Typical High $22.39 | Professional | 26 · Professional part | $15.14 | $16.60 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $66.07 | $72.44 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $85.11 | $91.20 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $28.84 | Professional | 26 · Professional part | $16.22 | $19.95 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $104.71 | Professional | TC · Technical part | $64.57 | $70.79 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $70.79 Typical High $109.65 | Facility | None | $15.49 | $70.79 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.49 Median $21.38 Typical High $25.70 | Professional | None (both parts) | $15.49 | $21.38 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $158.49 Typical High $588.84 | Facility | None | $104.71 | $158.49 | $588.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.45 Median $22.91 Typical High $34.67 | Facility | 26 · Professional part | $14.45 | $22.91 | $34.67 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $89.13 Typical High $128.82 | Facility | TC · Technical part | $19.05 | $89.13 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $87.10 | $257.04 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $17.78 | $47.86 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $208.93 Typical High $398.11 | Professional | TC · Technical part | $70.79 | $208.93 | $398.11 |
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 $81.28 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $81.28 | $117.49 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $27.54 | Professional | 26 · Professional part | $16.60 | $21.88 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $95.50 | $123.03 |
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 $40.74 Median $44.67 Typical High $66.07 | Professional | 52 · Reduced service | $40.74 | $44.67 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $26.30 | Professional | 53 · Discontinued | $16.22 | $17.78 | $26.30 |
Where Kentucky sits
The same service costs 5.5 times more in Alabama 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· 49th of 51
$91.20
AL $479FL $87.10
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.