How much rates vary
Facilitymedian $234 · 10th to 90th $66 to $427Professionalmedian $234 · 10th to 90th $178 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 $229.09 Median $234.42 Typical High $338.84 | Facility | None | $229.09 | $234.42 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $229.09 | $234.42 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $44.67 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $190.55 Typical High $263.03 | Professional | TC · Technical part | $177.83 | $190.55 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $48.98 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $48.98 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $177.83 | $199.53 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $38.02 | $50.12 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $218.78 | Professional | TC · Technical part | $131.83 | $154.88 | $218.78 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $181.97 Typical High $288.40 | Facility | None | $41.69 | $181.97 | $288.40 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $38.02 | $53.70 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $741.31 | Facility | None | $426.58 | $426.58 | $741.31 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $53.70 Typical High $75.86 | Facility | 26 · Professional part | $11.48 | $53.70 | $75.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $245.47 Typical High $346.74 | Facility | TC · Technical part | $52.48 | $245.47 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $1,288.25 | Professional | None (both parts) | $245.47 | $331.13 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $234.42 | Professional | 26 · Professional part | $43.65 | $60.26 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $1,071.52 | Professional | TC · Technical part | $199.53 | $275.42 | $1,071.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $117.49 | Professional | None (both parts) | $33.11 | $33.11 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $251.19 | $309.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $50.12 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $204.17 | $257.04 | $380.19 |
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 $114.82 Median $117.49 Typical High $125.89 | Professional | 52 · Reduced service | $114.82 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $47.86 | $51.29 |
Where Kentucky sits
The same service costs 3.0 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· 48th of 51
$234
AK $646UT $214
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.