How much rates vary
Facilitymedian $209 · 10th to 90th $49 to $389Professionalmedian $195 · 10th to 90th $145 to $355
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 $199.53 Median $245.47 Typical High $269.15 | Facility | None | $199.53 | $245.47 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $151.36 | $199.53 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $46.77 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $114.82 | $158.49 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $138.04 | $194.98 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $63.10 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $87.10 | $131.83 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $165.96 Typical High $257.04 | Facility | None | $42.66 | $165.96 | $257.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $60.26 Typical High $70.79 | Professional | None (both parts) | $46.77 | $60.26 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $501.19 | Facility | None | $208.93 | $389.05 | $501.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $54.95 Typical High $77.62 | Facility | 26 · Professional part | $11.75 | $54.95 | $77.62 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $218.78 Typical High $309.03 | Facility | TC · Technical part | $46.77 | $218.78 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $309.03 Typical High $1,174.90 | Professional | None (both parts) | $169.82 | $309.03 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $77.62 Typical High $281.84 | Professional | 26 · Professional part | $43.65 | $77.62 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $954.99 | Professional | TC · Technical part | $123.03 | $234.42 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $33.11 | $33.11 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $186.21 | $218.78 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $54.95 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $138.04 | $158.49 | $245.47 |
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 $75.86 Median $100.00 Typical High $123.03 | Professional | 52 · Reduced service | $75.86 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $39.81 Typical High $48.98 | Professional | 53 · Discontinued | $30.90 | $39.81 | $48.98 |
Where Kentucky sits
The same service costs 3.0 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· 47th of 51
$195
AK $513FL $174
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.