How much rates vary
Facilitymedian $209 · 10th to 90th $50 to $724Professionalmedian $275 · 10th to 90th $178 to $380
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 $190.55 Median $223.87 Typical High $331.13 | Facility | None | $190.55 | $223.87 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $229.09 | Professional | None (both parts) | $190.55 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $151.36 Typical High $173.78 | Professional | 26 · Professional part | $144.54 | $151.36 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $52.48 Typical High $56.23 | Professional | TC · Technical part | $46.77 | $52.48 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $177.83 | $275.42 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $229.09 | Professional | 26 · Professional part | $131.83 | $186.21 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $93.33 Typical High $107.15 | Professional | TC · Technical part | $43.65 | $93.33 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $131.83 Typical High $208.93 | Facility | None | $42.66 | $131.83 | $208.93 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $38.02 | $52.48 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $165.96 Typical High $234.42 | Facility | 26 · Professional part | $35.48 | $165.96 | $234.42 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $11.75 Median $54.95 Typical High $77.62 | Facility | TC · Technical part | $11.75 | $54.95 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $346.74 Typical High $912.01 | Professional | None (both parts) | $177.83 | $346.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $229.09 Typical High $660.69 | Professional | 26 · Professional part | $134.90 | $229.09 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $120.23 Typical High $302.00 | Professional | TC · Technical part | $44.67 | $120.23 | $302.00 |
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 Facility Modifier None Typical Low $50.12 Median $416.87 Typical High $1,949.84 | Facility | None | $50.12 | $416.87 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $346.74 Typical High $436.52 | Professional | None (both parts) | $194.98 | $346.74 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $234.42 Typical High $288.40 | Professional | 26 · Professional part | $147.91 | $234.42 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $117.49 Typical High $144.54 | Professional | TC · Technical part | $47.86 | $117.49 | $144.54 |
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 $95.50 Median $102.33 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $40.74 Typical High $45.71 | Professional | 53 · Discontinued | $38.02 | $40.74 | $45.71 |
Where Kentucky sits
The same service costs 3.5 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· 25th of 51
$275
AK $468UT $132
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.