How much rates vary
Facilitymedian $16 · 10th to 90th $4 to $66Professionalmedian $21 · 10th to 90th $15 to $40
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 $16.22 Median $16.60 Typical High $66.07 | Facility | None | $16.22 | $16.60 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $16.22 Typical High $17.38 | Professional | None (both parts) | $15.85 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.88 Typical High $13.49 | Professional | 26 · Professional part | $12.59 | $12.88 | $13.49 |
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 $15.49 Median $21.38 Typical High $26.92 | Professional | None (both parts) | $15.49 | $21.38 | $26.92 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $10.72 | $12.88 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $10.00 Typical High $19.95 | Professional | TC · Technical part | $6.92 | $10.00 | $19.95 |
CareSource Setting Facility Modifier None Typical Low $3.09 Median $12.59 Typical High $19.95 | Facility | None | $3.09 | $12.59 | $19.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.16 Median $4.37 Typical High $7.08 | Professional | None (both parts) | $3.16 | $4.37 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.31 Median $15.14 Typical High $21.88 | Facility | 26 · Professional part | $3.31 | $15.14 | $21.88 |
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 $12.30 Median $26.30 Typical High $263.03 | Professional | None (both parts) | $12.30 | $26.30 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $63.10 | Professional | 26 · Professional part | $10.00 | $12.59 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $5.75 Typical High $120.23 | Professional | TC · Technical part | $2.29 | $5.75 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.59 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $12.59 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $16.60 Median $36.31 Typical High $44.67 | Professional | None (both parts) | $16.60 | $36.31 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $17.78 | Professional | 26 · Professional part | $11.22 | $12.59 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $23.44 Typical High $31.62 | Professional | TC · Technical part | $3.09 | $23.44 | $31.62 |
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 $7.94 Median $8.13 Typical High $8.71 | Professional | 52 · Reduced service | $7.94 | $8.13 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.47 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.47 |
Where Kentucky sits
The same service costs 2.6 times more in California than in New York. 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· 17th of 51
$21.38
CA $38.02NY $14.45
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.