How much rates vary
Facilitymedian $501 · 10th to 90th $69 to $1,096Professionalmedian $447 · 10th to 90th $316 to $891
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 $263.03 Median $467.74 Typical High $512.86 | Facility | None | $263.03 | $467.74 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $467.74 | $512.86 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $45.71 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $467.74 Typical High $676.08 | Professional | TC · Technical part | $426.58 | $467.74 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $316.23 | $436.52 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $44.67 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $380.19 Typical High $537.03 | Professional | TC · Technical part | $239.88 | $380.19 | $537.03 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $457.09 Typical High $707.95 | Facility | None | $42.66 | $457.09 | $707.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $70.79 | Professional | None (both parts) | $43.65 | $58.88 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $2,630.27 | Facility | None | $676.08 | $870.96 | $2,630.27 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $53.70 Typical High $75.86 | Facility | 26 · Professional part | $11.48 | $53.70 | $75.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $562.34 Typical High $794.33 | Facility | TC · Technical part | $120.23 | $562.34 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,513.56 Typical High $2,691.53 | Professional | None (both parts) | $457.09 | $1,513.56 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $131.83 Typical High $245.47 | Professional | 26 · Professional part | $48.98 | $131.83 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $1,380.38 Typical High $2,511.89 | Professional | TC · Technical part | $398.11 | $1,380.38 | $2,511.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $549.54 | Professional | None (both parts) | $33.11 | $33.11 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $707.95 Typical High $891.25 | Professional | None (both parts) | $446.68 | $707.95 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $46.77 | $60.26 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $645.65 Typical High $831.76 | Professional | TC · Technical part | $398.11 | $645.65 | $831.76 |
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 $234.42 Median $257.04 Typical High $363.08 | Professional | 52 · Reduced service | $234.42 | $257.04 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $102.33 Typical High $144.54 | Professional | 53 · Discontinued | $93.33 | $102.33 | $144.54 |
Where Kentucky sits
The same service costs 4.4 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
$447
AK $1,950KY $447
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.