How much rates vary
Facilitymedian $31 · 10th to 90th $10 to $83Professionalmedian $51 · 10th to 90th $28 to $81
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 $25.12 Median $30.90 Typical High $83.18 | Facility | None | $25.12 | $30.90 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.90 Typical High $54.95 | Professional | None (both parts) | $25.12 | $30.90 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $10.72 | $12.02 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $67.61 | Professional | TC · Technical part | $40.74 | $44.67 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $72.44 | Professional | None (both parts) | $42.66 | $56.23 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $12.88 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $43.65 | $51.29 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $26.30 Typical High $39.81 | Facility | None | $7.76 | $26.30 | $39.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.08 Median $9.12 Typical High $25.70 | Professional | None (both parts) | $7.08 | $9.12 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $48.98 Typical High $70.79 | Facility | 26 · Professional part | $10.47 | $48.98 | $70.79 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $10.47 Median $48.98 Typical High $70.79 | Facility | TC · Technical part | $10.47 | $48.98 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $52.48 Typical High $331.13 | Professional | None (both parts) | $28.18 | $52.48 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $66.07 | Professional | 26 · Professional part | $11.22 | $13.18 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $37.15 Typical High $158.49 | Professional | TC · Technical part | $15.14 | $37.15 | $158.49 |
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 $46.77 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $46.77 | $52.48 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $12.88 | Professional | 26 · Professional part | $9.77 | $10.96 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $56.23 | Professional | TC · Technical part | $37.15 | $41.69 | $56.23 |
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 $12.59 Median $15.49 Typical High $27.54 | Professional | 52 · Reduced service | $12.59 | $15.49 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $10.96 | Professional | 53 · Discontinued | $5.01 | $6.31 | $10.96 |
Where Kentucky sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 29th of 51
$51.29
AK $110OH $33.11
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.