How much rates vary
Facilitymedian $58 · 10th to 90th $27 to $105Professionalmedian $56 · 10th to 90th $33 to $87
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 $56.23 Median $63.10 Typical High $69.18 | Facility | None | $56.23 | $63.10 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $69.18 | Professional | None (both parts) | $52.48 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $35.48 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.91 Typical High $28.18 | Professional | TC · Technical part | $21.88 | $22.91 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $56.23 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $56.23 Typical High $87.10 | Professional | None (both parts) | $34.67 | $56.23 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $42.66 | Professional | 26 · Professional part | $31.62 | $37.15 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $18.62 Typical High $30.20 | Professional | TC · Technical part | $17.78 | $18.62 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $38.90 Typical High $77.62 | Facility | None | $23.99 | $38.90 | $77.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $23.44 | $33.88 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $42.66 Typical High $60.26 | Facility | 26 · Professional part | $9.12 | $42.66 | $60.26 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.61 Median $30.90 Typical High $43.65 | Facility | TC · Technical part | $6.61 | $30.90 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $309.03 | Professional | None (both parts) | $50.12 | $58.88 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $173.78 | Professional | 26 · Professional part | $29.51 | $34.67 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.99 Typical High $134.90 | Professional | TC · Technical part | $16.22 | $23.99 | $134.90 |
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 $47.86 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $47.86 | $52.48 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $30.90 | $34.67 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.62 Typical High $24.55 | Professional | TC · Technical part | $16.22 | $18.62 | $24.55 |
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 $26.30 Median $28.84 Typical High $34.67 | Professional | 52 · Reduced service | $26.30 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $13.80 | Professional | 53 · Discontinued | $10.47 | $11.75 | $13.80 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 42nd of 51
$56.23
AK $170FL $45.71
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.