How much rates vary
Facilitymedian $79 · 10th to 90th $21 to $178Professionalmedian $54 · 10th to 90th $45 to $87
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 $54.95 Median $79.43 Typical High $81.28 | Facility | None | $54.95 | $79.43 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $79.43 Typical High $81.28 | Professional | None (both parts) | $61.66 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.05 Typical High $19.95 | Professional | 26 · Professional part | $18.62 | $19.05 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $42.66 | $60.26 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $44.67 | $53.70 | $70.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $25.12 | Professional | 26 · Professional part | $16.60 | $19.95 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $25.12 | $32.36 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $58.88 Typical High $93.33 | Facility | None | $18.20 | $58.88 | $93.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $17.78 Median $22.91 Typical High $29.51 | Professional | None (both parts) | $17.78 | $22.91 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.62 Median $26.30 Typical High $38.02 | Facility | 26 · Professional part | $5.62 | $26.30 | $38.02 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $100.00 Typical High $141.25 | Facility | TC · Technical part | $21.38 | $100.00 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $70.79 Typical High $549.54 | Professional | None (both parts) | $57.54 | $70.79 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $169.82 | Professional | 26 · Professional part | $18.20 | $23.44 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $53.70 Typical High $436.52 | Professional | TC · Technical part | $33.88 | $53.70 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $21.88 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $89.13 | Professional | None (both parts) | $42.66 | $56.23 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.50 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $19.50 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.02 Typical High $60.26 | Professional | TC · Technical part | $25.70 | $38.02 | $60.26 |
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 $30.90 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $30.90 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $12.30 | $15.85 | $16.22 |
Where Kentucky sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 51st of 51
$53.70
ND $186KY $53.70
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.