How much rates vary
Facilitymedian $115 · 10th to 90th $51 to $186Professionalmedian $107 · 10th to 90th $85 to $151
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 $120.23 Typical High $128.82 | Facility | None | $112.20 | $120.23 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $131.83 | Professional | None (both parts) | $112.20 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $57.54 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $66.07 | Professional | TC · Technical part | $53.70 | $57.54 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $85.11 | $107.15 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $61.66 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $39.81 | $46.77 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $57.54 Typical High $114.82 | Facility | None | $42.66 | $57.54 | $114.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $45.71 | $63.10 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $213.80 | Facility | None | $125.89 | $186.21 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $63.10 Typical High $91.20 | Facility | 26 · Professional part | $13.80 | $63.10 | $91.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $14.13 Median $66.07 Typical High $95.50 | Facility | TC · Technical part | $14.13 | $66.07 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $549.54 | Professional | None (both parts) | $102.33 | $144.54 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $288.40 | Professional | 26 · Professional part | $51.29 | $77.62 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $295.12 | Professional | TC · Technical part | $51.29 | $67.61 | $295.12 |
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 $104.71 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $104.71 | $138.04 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $56.23 | $74.13 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $46.77 | $66.07 | $85.11 |
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 $54.95 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $22.91 | $26.92 |
Where Kentucky sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 45th of 51
$107
MN $269UT $70.79
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.