How much rates vary
Facilitymedian $17 · 10th to 90th $5 to $68Professionalmedian $27 · 10th to 90th $17 to $44
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 $16.98 Median $17.38 Typical High $67.61 | Facility | None | $16.98 | $17.38 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $17.38 Typical High $18.62 | Professional | None (both parts) | $16.98 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $14.45 | Professional | 26 · Professional part | $13.49 | $13.80 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.39 Typical High $3.80 | Professional | TC · Technical part | $3.24 | $3.39 | $3.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $29.51 Typical High $36.31 | Professional | None (both parts) | $20.42 | $29.51 | $36.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $12.02 | $14.45 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $10.00 Typical High $21.88 | Professional | TC · Technical part | $7.41 | $10.00 | $21.88 |
CareSource Setting Facility Modifier None Typical Low $3.09 Median $13.49 Typical High $21.38 | Facility | None | $3.09 | $13.49 | $21.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.47 Median $4.37 Typical High $7.08 | Professional | None (both parts) | $3.47 | $4.37 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.55 Median $16.60 Typical High $23.44 | Facility | 26 · Professional part | $3.55 | $16.60 | $23.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $0.85 Median $3.98 Typical High $5.75 | Facility | TC · Technical part | $0.85 | $3.98 | $5.75 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.18 Median $28.84 Typical High $275.42 | Professional | None (both parts) | $13.18 | $28.84 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.80 Typical High $67.61 | Professional | 26 · Professional part | $10.72 | $13.80 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.51 Median $9.55 Typical High $123.03 | Professional | TC · Technical part | $2.51 | $9.55 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $15.49 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $38.90 Typical High $47.86 | Professional | None (both parts) | $17.38 | $38.90 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $12.30 | $13.80 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $24.55 Typical High $33.11 | Professional | TC · Technical part | $3.09 | $24.55 | $33.11 |
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 $8.51 Median $8.71 Typical High $9.12 | Professional | 52 · Reduced service | $8.51 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $3.63 | Professional | 53 · Discontinued | $3.39 | $3.47 | $3.63 |
Where Kentucky sits
The same service costs 2.5 times more in California than in Texas. 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· 11th of 51
$26.92
CA $40.74TX $16.22
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.