How much rates vary
Facilitymedian $115 · 10th to 90th $35 to $219Professionalmedian $145 · 10th to 90th $105 to $219
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 $109.65 Median $114.82 Typical High $213.80 | Facility | None | $109.65 | $114.82 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $109.65 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $20.89 | $22.91 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $91.20 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $123.03 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $100.00 | $144.54 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $28.84 | Professional | 26 · Professional part | $17.78 | $21.38 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $117.49 | $134.90 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $87.10 Typical High $134.90 | Facility | None | $20.89 | $87.10 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.89 Median $29.51 Typical High $34.67 | Professional | None (both parts) | $20.89 | $29.51 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $354.81 | Facility | None | $194.98 | $194.98 | $354.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $31.62 Typical High $47.86 | Facility | 26 · Professional part | $7.94 | $31.62 | $47.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $109.65 Typical High $154.88 | Facility | TC · Technical part | $23.44 | $109.65 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $602.56 | Professional | None (both parts) | $112.20 | $173.78 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $112.20 | Professional | 26 · Professional part | $22.39 | $28.18 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $501.19 | Professional | TC · Technical part | $89.13 | $144.54 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $33.11 | $33.11 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $123.03 | $162.18 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $19.05 | $21.88 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $102.33 | $134.90 | $186.21 |
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 $61.66 | Professional | 52 · Reduced service | $54.95 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $22.91 | $24.55 |
Where Kentucky sits
The same service costs 3.3 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· 38th of 51
$145
AK $316UT $95.50
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.