How much rates vary
Facilitymedian $117 · 10th to 90th $15 to $209Professionalmedian $83 · 10th to 90th $33 to $123
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 $104.71 Median $117.49 Typical High $120.23 | Facility | None | $104.71 | $117.49 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $123.03 | Professional | None (both parts) | $109.65 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $15.49 | Professional | 26 · Professional part | $14.13 | $14.45 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $95.50 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $33.11 | $66.07 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $21.38 | Professional | 26 · Professional part | $13.18 | $15.85 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $50.12 Typical High $67.61 | Professional | TC · Technical part | $11.48 | $50.12 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $102.33 Typical High $158.49 | Facility | None | $13.49 | $102.33 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.79 Median $19.05 Typical High $100.00 | Professional | None (both parts) | $14.79 | $19.05 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $4.90 Median $19.95 Typical High $29.51 | Facility | 26 · Professional part | $4.90 | $19.95 | $29.51 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $131.83 Typical High $186.21 | Facility | TC · Technical part | $28.18 | $131.83 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $645.65 | Professional | None (both parts) | $81.28 | $117.49 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.49 Typical High $75.86 | Professional | 26 · Professional part | $11.22 | $15.49 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $102.33 Typical High $575.44 | Professional | TC · Technical part | $66.07 | $102.33 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.38 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $17.38 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $75.86 | $89.13 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $15.49 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $61.66 | $74.13 | $102.33 |
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 $54.95 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $24.55 | $24.55 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska than in Florida. 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
$83.18
AK $245FL $81.28
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.