How much rates vary
Facilitymedian $112 · 10th to 90th $55 to $224Professionalmedian $166 · 10th to 90th $100 to $251
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 $112.20 Typical High $223.87 | Facility | None | $109.65 | $112.20 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $109.65 | $112.20 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $56.23 | $58.88 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $52.48 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $95.50 | $169.82 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $69.18 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $45.71 | $100.00 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $120.23 | Facility | None | $46.77 | $56.23 | $120.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $79.43 | Professional | None (both parts) | $46.77 | $61.66 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $309.03 | Facility | None | $120.23 | $194.98 | $309.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $70.79 Typical High $100.00 | Facility | 26 · Professional part | $15.14 | $70.79 | $100.00 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $14.13 Median $66.07 Typical High $95.50 | Facility | TC · Technical part | $14.13 | $66.07 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $190.55 Typical High $891.25 | Professional | None (both parts) | $107.15 | $190.55 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $295.12 | Professional | 26 · Professional part | $56.23 | $75.86 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $109.65 Typical High $407.38 | Professional | TC · Technical part | $51.29 | $109.65 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $97.72 | Professional | None (both parts) | $33.11 | $33.11 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $125.89 | $165.96 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $67.61 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $104.71 | $134.90 |
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 $53.70 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $21.88 | $21.88 | $22.91 |
Where Kentucky sits
The same service costs 4.6 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· 28th of 51
$166
AK $316UT $69.18
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.