How much rates vary
Facilitymedian $182 · 10th to 90th $40 to $347Professionalmedian $178 · 10th to 90th $132 to $316
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 $120.23 Median $173.78 Typical High $190.55 | Facility | None | $120.23 | $173.78 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $173.78 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $23.99 | $26.30 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $147.91 | $162.18 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $147.91 | $173.78 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $23.44 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $117.49 | $151.36 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $158.49 Typical High $251.19 | Facility | None | $25.12 | $158.49 | $251.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.91 Median $32.36 Typical High $41.69 | Professional | None (both parts) | $22.91 | $32.36 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $794.33 | Facility | None | $346.74 | $346.74 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $36.31 Typical High $54.95 | Facility | 26 · Professional part | $22.91 | $36.31 | $54.95 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $208.93 Typical High $302.00 | Facility | TC · Technical part | $45.71 | $208.93 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $147.91 | $389.05 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $26.30 | $77.62 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $114.82 | $478.63 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $218.78 | Professional | None (both parts) | $33.11 | $33.11 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $295.12 | Professional | None (both parts) | $144.54 | $239.88 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $24.55 | $32.36 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $257.04 | Professional | TC · Technical part | $107.15 | $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 $87.10 Median $95.50 Typical High $123.03 | Professional | 52 · Reduced service | $87.10 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.02 Typical High $48.98 | Professional | 53 · Discontinued | $34.67 | $38.02 | $48.98 |
Where Kentucky sits
The same service costs 4.8 times more in Alaska 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
$178
AK $851IN $178
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.