How much rates vary
Facilitymedian $174 · 10th to 90th $102 to $355Professionalmedian $182 · 10th to 90th $112 to $468
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 $165.96 Median $173.78 Typical High $239.88 | Facility | None | $165.96 | $173.78 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $162.18 | $173.78 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $83.18 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $109.65 | Professional | TC · Technical part | $79.43 | $87.10 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $112.20 | $154.88 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $85.11 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $28.18 | $75.86 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $120.23 Typical High $245.47 | Facility | None | $89.13 | $120.23 | $245.47 |
CareSource Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $100.00 | $141.25 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $316.23 Typical High $524.81 | Facility | None | $102.33 | $316.23 | $524.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $123.03 Typical High $177.83 | Facility | 26 · Professional part | $26.30 | $123.03 | $177.83 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $123.03 Typical High $173.78 | Facility | TC · Technical part | $26.30 | $123.03 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $478.63 Typical High $1,047.13 | Professional | None (both parts) | $117.49 | $478.63 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $257.04 Typical High $549.54 | Professional | 26 · Professional part | $51.29 | $257.04 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $346.74 Typical High $549.54 | Professional | TC · Technical part | $53.70 | $346.74 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $138.04 | $234.42 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $70.79 | $109.65 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $131.83 | $204.17 |
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 $85.11 Typical High $120.23 | Professional | 52 · Reduced service | $81.28 | $85.11 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $34.67 Typical High $47.86 | Professional | 53 · Discontinued | $32.36 | $34.67 | $47.86 |
Where Kentucky sits
The same service costs 6.9 times more in Alaska than in Alabama. 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· 43rd of 51
$182
AK $933AL $135
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.