How much rates vary
Facilitymedian $309 · 10th to 90th $59 to $603Professionalmedian $295 · 10th to 90th $186 to $417
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 $213.80 Median $309.03 Typical High $323.59 | Facility | None | $213.80 | $309.03 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $309.03 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $52.48 | $54.95 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $263.03 Typical High $354.81 | Professional | TC · Technical part | $257.04 | $263.03 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $186.21 | $251.19 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $57.54 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $107.15 | $199.53 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $251.19 Typical High $398.11 | Facility | None | $51.29 | $251.19 | $398.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $51.29 | $67.61 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $69.18 Typical High $97.72 | Facility | 26 · Professional part | $14.79 | $69.18 | $97.72 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $354.81 Typical High $501.19 | Facility | TC · Technical part | $75.86 | $354.81 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $1,862.09 | Professional | None (both parts) | $229.09 | $389.05 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $281.84 | Professional | 26 · Professional part | $53.70 | $79.43 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $316.23 Typical High $1,548.82 | Professional | TC · Technical part | $162.18 | $316.23 | $1,548.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $33.11 | $33.11 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $194.98 | $295.12 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $57.54 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $245.47 Typical High $478.63 | Professional | TC · Technical part | $144.54 | $245.47 | $478.63 |
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 $154.88 Median $158.49 Typical High $169.82 | Professional | 52 · Reduced service | $154.88 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $63.10 Typical High $67.61 | Professional | 53 · Discontinued | $61.66 | $63.10 | $67.61 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$295
AK $776NM $240
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.