How much rates vary
Facilitymedian $135 · 10th to 90th $52 to $295Professionalmedian $135 · 10th to 90th $85 to $245
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 $131.83 Median $134.90 Typical High $177.83 | Facility | None | $131.83 | $134.90 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $134.90 | Professional | None (both parts) | $109.65 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $35.48 | Professional | 26 · Professional part | $23.99 | $34.67 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $102.33 | Professional | TC · Technical part | $79.43 | $97.72 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $85.11 | $100.00 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $33.88 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $54.95 | $70.79 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $109.65 Typical High $169.82 | Facility | None | $32.36 | $109.65 | $169.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $52.48 | Professional | None (both parts) | $33.11 | $44.67 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $229.09 Typical High $446.68 | Facility | None | $213.80 | $229.09 | $446.68 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $42.66 Typical High $60.26 | Facility | 26 · Professional part | $9.12 | $42.66 | $60.26 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $117.49 Typical High $165.96 | Facility | TC · Technical part | $25.12 | $117.49 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $707.95 | Professional | None (both parts) | $141.25 | $213.80 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $173.78 | Professional | 26 · Professional part | $23.44 | $39.81 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $602.56 | Professional | TC · Technical part | $117.49 | $177.83 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $79.43 | Professional | None (both parts) | $33.11 | $33.11 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $151.36 | $199.53 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $31.62 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $125.89 | $165.96 | $234.42 |
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 $60.26 Median $66.07 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $26.30 | $26.92 |
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· 47th of 51
$135
AK $407UT $117
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.