How much rates vary
Facilitymedian $60 · 10th to 90th $43 to $115Professionalmedian $60 · 10th to 90th $54 to $123
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 $54.95 Median $60.26 Typical High $81.28 | Facility | None | $54.95 | $60.26 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $54.95 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.24 Typical High $9.33 | Professional | 26 · Professional part | $6.61 | $7.24 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $47.86 | $52.48 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $53.70 | $56.23 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $27.54 | Professional | 26 · Professional part | $6.61 | $8.71 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $91.20 | Professional | TC · Technical part | $39.81 | $48.98 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $51.29 Typical High $79.43 | Facility | None | $6.92 | $51.29 | $79.43 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.92 Median $9.33 Typical High $11.22 | Professional | None (both parts) | $6.92 | $9.33 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $208.93 | Facility | None | $75.86 | $114.82 | $208.93 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.46 Median $10.23 Typical High $15.49 | Facility | 26 · Professional part | $6.46 | $10.23 | $15.49 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $70.79 Typical High $102.33 | Facility | TC · Technical part | $15.14 | $70.79 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $60.26 | $173.78 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $35.48 Typical High $87.10 | Professional | 26 · Professional part | $8.51 | $35.48 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $154.88 Typical High $316.23 | Professional | TC · Technical part | $53.70 | $154.88 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $33.11 | $33.11 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $63.10 | $83.18 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $9.55 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $74.13 | $91.20 |
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 $27.54 Median $29.51 Typical High $42.66 | Professional | 52 · Reduced service | $27.54 | $29.51 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $16.98 | Professional | 53 · Discontinued | $10.96 | $12.02 | $16.98 |
Where Kentucky sits
The same service costs 4.6 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
$60.26
AK $275KY $60.26
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.