How much rates vary
Facilitymedian $174 · 10th to 90th $115 to $525Professionalmedian $295 · 10th to 90th $219 to $447
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $295.12 Typical High $302.00 | Professional | None (both parts) | $151.36 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $120.23 Typical High $123.03 | Professional | 26 · Professional part | $114.82 | $120.23 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $177.83 Typical High $181.97 | Professional | TC · Technical part | $173.78 | $177.83 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $251.19 | $302.00 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $89.13 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $251.19 | Professional | TC · Technical part | $177.83 | $208.93 | $251.19 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $380.19 | Facility | None | $112.20 | $173.78 | $380.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $181.97 | Professional | None (both parts) | $95.50 | $141.25 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $154.88 Typical High $223.87 | Facility | 26 · Professional part | $33.88 | $154.88 | $223.87 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $213.80 Typical High $309.03 | Facility | TC · Technical part | $45.71 | $213.80 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $1,584.89 | Professional | None (both parts) | $281.84 | $288.40 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $114.82 Typical High $630.96 | Professional | 26 · Professional part | $102.33 | $114.82 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $954.99 | Professional | TC · Technical part | $144.54 | $173.78 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $77.62 | $128.82 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $467.74 | Professional | None (both parts) | $251.19 | $309.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $95.50 | $117.49 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $144.54 | $186.21 | $281.84 |
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 $75.86 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $75.86 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $58.88 Typical High $61.66 | Professional | 53 · Discontinued | $30.20 | $58.88 | $61.66 |
Where Kentucky sits
The same service costs 9.8 times more in Alaska than in New York. 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· 35th of 51
$295
AK $631NY $64.57
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.