How much rates vary
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 $162.18 Median $173.78 Typical High $177.83 | Facility | None | $162.18 | $173.78 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $162.18 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $30.20 | $33.11 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $144.54 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $154.88 | $177.83 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $38.90 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $120.23 | $138.04 | $213.80 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $141.25 Typical High $218.78 | Facility | None | $30.90 | $141.25 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.84 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $28.84 | $42.66 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $794.33 | Facility | None | $302.00 | $302.00 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $44.67 Typical High $66.07 | Facility | 26 · Professional part | $10.96 | $44.67 | $66.07 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $169.82 Typical High $245.47 | Facility | TC · Technical part | $36.31 | $169.82 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $380.19 Typical High $912.01 | Professional | None (both parts) | $173.78 | $380.19 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $32.36 | $97.72 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $416.87 Typical High $758.58 | Professional | TC · Technical part | $144.54 | $416.87 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $190.55 | Professional | None (both parts) | $33.11 | $33.11 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $158.49 | $234.42 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $42.66 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $194.98 | $239.88 |
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 $81.28 Median $89.13 Typical High $120.23 | Professional | 52 · Reduced service | $81.28 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $47.86 | Professional | 53 · Discontinued | $32.36 | $35.48 | $47.86 |
Where Kentucky sits
The same service costs 4.6 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· 49th of 51
$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.