How much rates vary
Facilitymedian $138 · 10th to 90th $44 to $257Professionalmedian $120 · 10th to 90th $68 to $191
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 $134.90 Median $147.91 Typical High $165.96 | Facility | None | $134.90 | $147.91 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $120.23 | $147.91 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $46.77 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $97.72 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $181.97 | $186.21 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $83.18 | $112.20 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $43.65 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $89.13 | Professional | TC · Technical part | $50.12 | $67.61 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $102.33 Typical High $186.21 | Facility | None | $38.90 | $102.33 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $38.90 | $107.15 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $48.98 Typical High $69.18 | Facility | 26 · Professional part | $10.47 | $48.98 | $69.18 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $131.83 Typical High $186.21 | Facility | TC · Technical part | $28.18 | $131.83 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $177.83 Typical High $776.25 | Professional | None (both parts) | $109.65 | $177.83 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $204.17 | Professional | 26 · Professional part | $38.90 | $63.10 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $575.44 | Professional | TC · Technical part | $64.57 | $112.20 | $575.44 |
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 $95.50 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $95.50 | $114.82 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $37.15 | $42.66 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $104.71 | Professional | TC · Technical part | $53.70 | $74.13 | $104.71 |
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 $56.23 Median $67.61 Typical High $83.18 | Professional | 52 · Reduced service | $56.23 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $33.11 | Professional | 53 · Discontinued | $22.39 | $26.92 | $33.11 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in New York. 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· 45th of 51
$123
AK $347NY $107
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.