How much rates vary
Facilitymedian $195 · 10th to 90th $56 to $417Professionalmedian $135 · 10th to 90th $60 to $398
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 $147.91 Median $190.55 Typical High $194.98 | Facility | None | $147.91 | $190.55 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $158.49 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $46.77 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $147.91 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $60.26 | $102.33 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $52.48 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $75.86 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $186.21 Typical High $281.84 | Facility | None | $56.23 | $186.21 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $56.23 | $77.62 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $416.87 Typical High $478.63 | Facility | None | $173.78 | $416.87 | $478.63 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.50 Median $67.61 Typical High $97.72 | Facility | 26 · Professional part | $19.50 | $67.61 | $97.72 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $223.87 Typical High $323.59 | Facility | TC · Technical part | $47.86 | $223.87 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $436.52 Typical High $1,288.25 | Professional | None (both parts) | $125.89 | $436.52 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $181.97 Typical High $275.42 | Professional | 26 · Professional part | $30.20 | $181.97 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $588.84 Typical High $1,000.00 | Professional | TC · Technical part | $81.28 | $588.84 | $1,000.00 |
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 $134.90 Median $169.82 Typical High $426.58 | Professional | None (both parts) | $134.90 | $169.82 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $64.57 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $316.23 | Professional | TC · Technical part | $75.86 | $117.49 | $316.23 |
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 $87.10 Median $97.72 Typical High $125.89 | Professional | 52 · Reduced service | $87.10 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $50.12 | Professional | 53 · Discontinued | $34.67 | $38.90 | $50.12 |
Where Kentucky sits
The same service costs 6.6 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· 50th of 51
$135
AK $794AL $120
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.