How much rates vary
Facilitymedian $46 · 10th to 90th $9 to $87Professionalmedian $43 · 10th to 90th $32 to $56
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 $38.90 Median $45.71 Typical High $56.23 | Facility | None | $38.90 | $45.71 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $43.65 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $9.77 | Professional | 26 · Professional part | $7.08 | $8.32 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.02 Typical High $46.77 | Professional | TC · Technical part | $36.31 | $38.02 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $32.36 | $33.11 | $42.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.41 Typical High $12.30 | Professional | 26 · Professional part | $7.08 | $7.41 | $12.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $20.89 | $25.70 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $39.81 Typical High $61.66 | Facility | None | $7.94 | $39.81 | $61.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $11.48 Typical High $42.66 | Professional | None (both parts) | $8.13 | $11.48 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.19 Median $10.23 Typical High $14.79 | Facility | 26 · Professional part | $2.19 | $10.23 | $14.79 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $10.96 Median $50.12 Typical High $72.44 | Facility | TC · Technical part | $10.96 | $50.12 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $263.03 | Professional | None (both parts) | $37.15 | $47.86 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $43.65 | Professional | 26 · Professional part | $6.76 | $8.51 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $223.87 | Professional | TC · Technical part | $28.18 | $40.74 | $223.87 |
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 $34.67 Median $40.74 Typical High $45.71 | Professional | None (both parts) | $34.67 | $40.74 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.13 Typical High $9.55 | Professional | 26 · Professional part | $7.24 | $8.13 | $9.55 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $38.02 | Professional | TC · Technical part | $26.92 | $32.36 | $38.02 |
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 $21.88 Median $22.91 Typical High $28.18 | Professional | 52 · Reduced service | $21.88 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $11.48 | Professional | 53 · Discontinued | $8.71 | $9.12 | $11.48 |
Where Kentucky sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$42.66
AK $135NJ $38.90
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.