How much rates vary
Facilitymedian $224 · 10th to 90th $93 to $372Professionalmedian $234 · 10th to 90th $186 to $407
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 $218.78 Median $234.42 Typical High $251.19 | Facility | None | $218.78 | $234.42 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $218.78 | $251.19 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $93.33 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $125.89 | $147.91 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $186.21 | $234.42 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $69.18 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $190.55 | Professional | TC · Technical part | $109.65 | $165.96 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $117.49 Typical High $223.87 | Facility | None | $79.43 | $117.49 | $223.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $79.43 | $109.65 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $537.03 | Facility | None | $251.19 | $371.54 | $537.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $104.71 Typical High $147.91 | Facility | 26 · Professional part | $22.39 | $104.71 | $147.91 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $154.88 Typical High $223.87 | Facility | TC · Technical part | $33.11 | $154.88 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $346.74 Typical High $1,122.02 | Professional | None (both parts) | $204.17 | $346.74 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $426.58 | Professional | 26 · Professional part | $79.43 | $109.65 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $758.58 | Professional | TC · Technical part | $123.03 | $234.42 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $104.71 | Professional | None (both parts) | $33.11 | $33.11 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $223.87 | $309.03 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $87.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $223.87 | $295.12 |
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 $107.15 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $107.15 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $46.77 | $52.48 |
Where Kentucky sits
The same service costs 4.7 times more in Alaska 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
$234
AK $589UT $126
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.