How much rates vary
Facilitymedian $129 · 10th to 90th $54 to $302Professionalmedian $126 · 10th to 90th $40 to $263
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 $123.03 Median $128.82 Typical High $281.84 | Facility | None | $123.03 | $128.82 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $181.97 | Facility | TC · Technical part | $66.07 | $95.50 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $123.03 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $38.02 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $85.11 | $100.00 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $72.44 Typical High $154.88 | Professional | None (both parts) | $39.81 | $72.44 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $22.39 | $47.86 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $16.98 Typical High $100.00 | Professional | TC · Technical part | $15.14 | $16.98 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $128.82 Typical High $213.80 | Facility | None | $38.90 | $128.82 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $42.66 | $123.03 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $302.00 Typical High $302.00 | Facility | None | $112.20 | $302.00 | $302.00 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $70.79 Typical High $102.33 | Facility | 26 · Professional part | $15.14 | $70.79 | $102.33 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $138.04 Typical High $199.53 | Facility | TC · Technical part | $29.51 | $138.04 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $302.00 Typical High $812.83 | Professional | None (both parts) | $83.18 | $302.00 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $19.95 | $125.89 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $229.09 Typical High $616.60 | Professional | TC · Technical part | $60.26 | $229.09 | $616.60 |
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 $102.33 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $102.33 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $27.54 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $100.00 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $100.00 | $208.93 |
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 $61.66 Median $63.10 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $25.70 | $32.36 |
Where Kentucky sits
The same service costs 4.9 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· 49th of 51
$126
AK $468AL $95.50
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.