How much rates vary
Facilitymedian $76 · 10th to 90th $35 to $126Professionalmedian $68 · 10th to 90th $46 to $93
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 $75.86 Median $89.13 Typical High $120.23 | Facility | None | $75.86 | $89.13 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $74.13 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $42.66 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $38.02 | $42.66 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $69.18 | $91.20 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $39.81 | $44.67 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $79.43 | Professional | None (both parts) | $46.77 | $61.66 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $40.74 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.42 Typical High $30.90 | Professional | TC · Technical part | $15.14 | $20.42 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $46.77 Typical High $93.33 | Facility | None | $33.88 | $46.77 | $93.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $33.88 | $40.74 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $43.65 Typical High $61.66 | Facility | 26 · Professional part | $9.33 | $43.65 | $61.66 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $9.77 Median $45.71 Typical High $64.57 | Facility | TC · Technical part | $9.77 | $45.71 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $380.19 | Professional | None (both parts) | $67.61 | $81.28 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $177.83 | Professional | 26 · Professional part | $34.67 | $50.12 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $199.53 | Professional | TC · Technical part | $25.70 | $37.15 | $199.53 |
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 $58.88 Median $67.61 Typical High $123.03 | Professional | None (both parts) | $58.88 | $67.61 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $45.71 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $56.23 | Professional | TC · Technical part | $19.50 | $25.12 | $56.23 |
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 $38.02 Median $40.74 Typical High $45.71 | Professional | 52 · Reduced service | $38.02 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.22 Typical High $18.20 | Professional | 53 · Discontinued | $15.14 | $16.22 | $18.20 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska 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· 47th of 51
$67.61
AK $182NY $53.70
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.