How much rates vary
Facilitymedian $200 · 10th to 90th $46 to $363Professionalmedian $166 · 10th to 90th $151 to $331
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 $190.55 Typical High $204.17 | Facility | None | $177.83 | $190.55 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $190.55 | $208.93 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $29.51 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $158.49 | $181.97 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $151.36 | $162.18 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $28.18 | $36.31 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $120.23 | $123.03 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $169.82 Typical High $269.15 | Facility | None | $28.18 | $169.82 | $269.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.02 Typical High $46.77 | Professional | None (both parts) | $28.18 | $38.02 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $794.33 | Facility | None | $257.04 | $363.08 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $41.69 Typical High $61.66 | Facility | 26 · Professional part | $10.47 | $41.69 | $61.66 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $218.78 Typical High $316.23 | Facility | TC · Technical part | $46.77 | $218.78 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $602.56 Typical High $1,122.02 | Professional | None (both parts) | $199.53 | $602.56 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $30.20 | $87.10 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $512.86 Typical High $977.24 | Professional | TC · Technical part | $154.88 | $512.86 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $229.09 | Professional | None (both parts) | $33.11 | $33.11 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $151.36 | $229.09 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $38.90 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $123.03 | $190.55 | $288.40 |
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 $95.50 Median $102.33 Typical High $141.25 | Professional | 52 · Reduced service | $95.50 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $57.54 | Professional | 53 · Discontinued | $38.02 | $41.69 | $57.54 |
Where Kentucky sits
The same service costs 5.2 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
$178
AK $933KY $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.