How much rates vary
Facilitymedian $145 · 10th to 90th $65 to $269Professionalmedian $148 · 10th to 90th $126 to $204
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 $144.54 Typical High $234.42 | Facility | None | $120.23 | $144.54 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $141.25 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $66.07 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $95.50 | Professional | TC · Technical part | $77.62 | $81.28 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $154.88 | $154.88 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $169.82 | Professional | None (both parts) | $125.89 | $147.91 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $72.44 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $74.13 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $158.49 | Facility | None | $61.66 | $77.62 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $56.23 | $74.13 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $79.43 Typical High $114.82 | Facility | 26 · Professional part | $17.38 | $79.43 | $114.82 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $107.15 Typical High $151.36 | Facility | TC · Technical part | $22.91 | $107.15 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $794.33 | Professional | None (both parts) | $141.25 | $173.78 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $331.13 | Professional | 26 · Professional part | $64.57 | $83.18 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $467.74 | Professional | TC · Technical part | $77.62 | $89.13 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $33.11 | $33.11 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $131.83 | $154.88 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $70.79 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $72.44 | $87.10 | $125.89 |
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 $70.79 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $28.18 | $28.84 | $30.20 |
Where Kentucky sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 47th of 51
$148
AK $331TX $91.20
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.