How much rates vary
Facilitymedian $123 · 10th to 90th $34 to $214Professionalmedian $123 · 10th to 90th $98 to $214
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 $120.23 Median $120.23 Typical High $123.03 | Facility | None | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $117.49 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $22.39 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $100.00 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $112.20 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $91.20 | $107.15 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $14.79 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $95.50 | $123.03 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $107.15 Typical High $165.96 | Facility | None | $20.42 | $107.15 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.38 Median $27.54 Typical High $35.48 | Professional | None (both parts) | $21.38 | $27.54 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $426.58 | Facility | None | $204.17 | $204.17 | $426.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $30.20 Typical High $45.71 | Facility | 26 · Professional part | $7.59 | $30.20 | $45.71 |
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 $131.83 Median $177.83 Typical High $676.08 | Professional | None (both parts) | $131.83 | $177.83 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $107.15 | Professional | 26 · Professional part | $15.49 | $22.39 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $630.96 | Professional | TC · Technical part | $109.65 | $151.36 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $131.83 | $173.78 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $30.20 | Professional | 26 · Professional part | $11.22 | $14.13 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $112.20 | $162.18 | $229.09 |
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 $58.88 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $58.88 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $23.44 | $23.99 | $24.55 |
Where Kentucky sits
The same service costs 3.7 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
$123
AK $363UT $97.72
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.