How much rates vary
Facilitymedian $138 · 10th to 90th $35 to $214Professionalmedian $102 · 10th to 90th $43 to $170
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 $112.20 Median $138.04 Typical High $165.96 | Facility | None | $112.20 | $138.04 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $56.23 | $125.89 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $13.80 | $25.70 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $91.20 Typical High $125.89 | Professional | TC · Technical part | $39.81 | $91.20 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $42.66 | $93.33 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $21.38 | $38.02 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $104.71 | Professional | TC · Technical part | $46.77 | $54.95 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $93.33 Typical High $147.91 | Facility | None | $21.38 | $93.33 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.50 Median $28.84 Typical High $35.48 | Professional | None (both parts) | $19.50 | $28.84 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $213.80 Typical High $269.15 | Facility | None | $51.29 | $213.80 | $269.15 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.62 Median $26.30 Typical High $37.15 | Facility | 26 · Professional part | $5.62 | $26.30 | $37.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $123.03 Typical High $173.78 | Facility | TC · Technical part | $26.30 | $123.03 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $158.49 Typical High $660.69 | Professional | None (both parts) | $83.18 | $158.49 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $46.77 Typical High $117.49 | Professional | 26 · Professional part | $21.38 | $46.77 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $549.54 | Professional | TC · Technical part | $69.18 | $112.20 | $549.54 |
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 $42.66 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $42.66 | $102.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $46.77 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $75.86 | $128.82 |
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 $60.26 Typical High $83.18 | Professional | 52 · Reduced service | $56.23 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $33.11 | Professional | 53 · Discontinued | $22.39 | $23.99 | $33.11 |
Where Kentucky sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 50th of 51
$102
AK $363IN $69.18
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.