How much rates vary
Facilitymedian $398 · 10th to 90th $89 to $759Professionalmedian $331 · 10th to 90th $219 to $525
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 $309.03 Median $398.11 Typical High $407.38 | Facility | None | $309.03 | $398.11 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $380.19 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $81.28 | $83.18 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $295.12 | $323.59 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $416.87 | $416.87 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $117.49 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $218.78 | $316.23 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $72.44 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $239.88 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $309.03 Typical High $489.78 | Facility | None | $77.62 | $309.03 | $489.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $97.72 Typical High $123.03 | Professional | None (both parts) | $70.79 | $97.72 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $102.33 Typical High $147.91 | Facility | 26 · Professional part | $22.39 | $102.33 | $147.91 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $426.58 Typical High $602.56 | Facility | TC · Technical part | $91.20 | $426.58 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $478.63 Typical High $2,290.87 | Professional | None (both parts) | $223.87 | $478.63 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $125.89 Typical High $426.58 | Professional | 26 · Professional part | $79.43 | $125.89 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $363.08 Typical High $1,905.46 | Professional | TC · Technical part | $194.98 | $363.08 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $181.97 | Professional | None (both parts) | $33.11 | $33.11 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $239.88 | $363.08 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $93.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $275.42 Typical High $575.44 | Professional | TC · Technical part | $162.18 | $275.42 | $575.44 |
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 $186.21 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $186.21 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $75.86 | $79.43 | $83.18 |
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· 50th of 51
$331
AK $977NM $302
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.