How much rates vary
Facilitymedian $42 · 10th to 90th $19 to $76Professionalmedian $52 · 10th to 90th $39 to $68
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 $40.74 Median $50.12 Typical High $54.95 | Facility | None | $40.74 | $50.12 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $44.67 Typical High $54.95 | Professional | None (both parts) | $38.90 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $17.38 | $19.95 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $26.92 | Professional | TC · Technical part | $21.38 | $23.99 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | None (both parts) | $44.67 | $44.67 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $67.61 | Professional | None (both parts) | $43.65 | $56.23 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $23.44 | $30.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $37.15 | Professional | TC · Technical part | $23.44 | $33.11 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $23.44 Typical High $47.86 | Facility | None | $19.05 | $23.44 | $47.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.05 Median $26.30 Typical High $38.02 | Professional | None (both parts) | $19.05 | $26.30 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.13 Median $23.99 Typical High $33.88 | Facility | 26 · Professional part | $5.13 | $23.99 | $33.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.31 Median $29.51 Typical High $41.69 | Facility | TC · Technical part | $6.31 | $29.51 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $229.09 | Professional | None (both parts) | $36.31 | $52.48 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $107.15 | Professional | 26 · Professional part | $16.60 | $22.39 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $151.36 | Professional | TC · Technical part | $19.95 | $26.30 | $151.36 |
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 $39.81 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $39.81 | $56.23 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $24.55 | Professional | 26 · Professional part | $18.20 | $19.95 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $36.31 Typical High $41.69 | Professional | TC · Technical part | $20.89 | $36.31 | $41.69 |
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 $19.50 Median $21.88 Typical High $25.12 | Professional | 52 · Reduced service | $19.50 | $21.88 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.71 Typical High $10.00 | Professional | 53 · Discontinued | $7.76 | $8.71 | $10.00 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 18th of 51
$52.48
AK $123UT $36.31
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.