How much rates vary
Facilitymedian $229 · 10th to 90th $56 to $389Professionalmedian $229 · 10th to 90th $162 to $437
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 $218.78 Median $229.09 Typical High $269.15 | Facility | None | $218.78 | $229.09 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $218.78 | $229.09 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $36.31 | $37.15 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $190.55 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $190.55 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $162.18 | $190.55 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $30.20 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $162.18 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $181.97 Typical High $281.84 | Facility | None | $33.88 | $181.97 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $56.23 | Professional | None (both parts) | $34.67 | $47.86 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $741.31 | Facility | None | $389.05 | $389.05 | $741.31 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $50.12 Typical High $75.86 | Facility | 26 · Professional part | $12.59 | $50.12 | $75.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $229.09 Typical High $331.13 | Facility | TC · Technical part | $48.98 | $229.09 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $1,202.26 | Professional | None (both parts) | $218.78 | $309.03 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $177.83 | Professional | 26 · Professional part | $35.48 | $47.86 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $1,023.29 | Professional | TC · Technical part | $186.21 | $263.03 | $1,023.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $165.96 | Professional | None (both parts) | $33.11 | $33.11 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $239.88 | $263.03 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $41.69 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $223.87 Typical High $380.19 | Professional | TC · Technical part | $199.53 | $223.87 | $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 $109.65 Median $114.82 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $45.71 | $50.12 |
Where Kentucky sits
The same service costs 3.1 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· 49th of 51
$229
AK $631UT $204
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.