How much rates vary
Facilitymedian $35 · 10th to 90th $18 to $68Professionalmedian $34 · 10th to 90th $21 to $45
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 $33.88 Median $35.48 Typical High $37.15 | Facility | None | $33.88 | $35.48 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $36.31 Typical High $41.69 | Professional | None (both parts) | $35.48 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $15.85 | Professional | 26 · Professional part | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.91 Typical High $26.30 | Professional | TC · Technical part | $21.88 | $22.91 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $36.31 Typical High $38.90 | Professional | None (both parts) | $33.11 | $36.31 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.22 Median $33.88 Typical High $40.74 | Professional | None (both parts) | $16.22 | $33.88 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $12.30 | $15.14 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $25.70 | Professional | TC · Technical part | $15.85 | $18.62 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $22.39 Typical High $46.77 | Facility | None | $13.18 | $22.39 | $46.77 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.18 Median $22.91 Typical High $38.02 | Professional | None (both parts) | $13.18 | $22.91 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.63 Median $16.98 Typical High $24.55 | Facility | 26 · Professional part | $3.63 | $16.98 | $24.55 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.46 Median $30.20 Typical High $42.66 | Facility | TC · Technical part | $6.46 | $30.20 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $204.17 | Professional | None (both parts) | $35.48 | $41.69 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.78 Typical High $72.44 | Professional | 26 · Professional part | $13.49 | $17.78 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $134.90 | Professional | TC · Technical part | $21.88 | $24.55 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $20.89 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $30.90 | $37.15 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $14.79 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $21.88 | $33.88 |
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 $17.78 Median $18.20 Typical High $18.62 | Professional | 52 · Reduced service | $17.78 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $7.41 | Professional | 53 · Discontinued | $7.08 | $7.24 | $7.41 |
Where Kentucky sits
The same service costs 2.7 times more in Minnesota 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
$33.88
MN $83.18UT $30.90
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.