How much rates vary
Facilitymedian $170 · 10th to 90th $78 to $282Professionalmedian $251 · 10th to 90th $170 to $389
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 $169.82 Median $199.53 Typical High $269.15 | Facility | None | $169.82 | $199.53 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $169.82 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $109.65 | Professional | 26 · Professional part | $87.10 | $97.72 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $95.50 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $316.23 | Professional | None (both parts) | $208.93 | $251.19 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $95.50 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $125.89 | $158.49 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $177.83 | Facility | None | $69.18 | $85.11 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $72.44 | $100.00 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $102.33 Typical High $144.54 | Facility | 26 · Professional part | $21.88 | $102.33 | $144.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $93.33 Typical High $134.90 | Facility | TC · Technical part | $19.95 | $93.33 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $831.76 | Professional | None (both parts) | $158.49 | $275.42 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $134.90 Typical High $446.68 | Professional | 26 · Professional part | $83.18 | $134.90 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $134.90 Typical High $416.87 | Professional | TC · Technical part | $75.86 | $134.90 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $173.78 | Professional | None (both parts) | $33.11 | $33.11 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $234.42 | $316.23 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $93.33 | $120.23 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $147.91 | $194.98 | $263.03 |
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 $85.11 Median $91.20 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $36.31 | $40.74 |
Where Kentucky sits
The same service costs 3.1 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· 33rd of 51
$251
AK $537NY $174
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.