How much rates vary
Facilitymedian $89 · 10th to 90th $40 to $158Professionalmedian $58 · 10th to 90th $42 to $105
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 $89.13 Median $91.20 Typical High $120.23 | Facility | None | $89.13 | $91.20 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $89.13 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $41.69 | Professional | 26 · Professional part | $36.31 | $37.15 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $66.07 | Professional | TC · Technical part | $52.48 | $53.70 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $38.90 | $52.48 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $39.81 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $11.22 Typical High $16.98 | Professional | TC · Technical part | $8.32 | $11.22 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $56.23 Typical High $97.72 | Facility | None | $34.67 | $56.23 | $97.72 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $31.62 | $43.65 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $44.67 Typical High $64.57 | Facility | 26 · Professional part | $9.77 | $44.67 | $64.57 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $14.13 Median $66.07 Typical High $93.33 | Facility | TC · Technical part | $14.13 | $66.07 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $131.83 Typical High $478.63 | Professional | None (both parts) | $89.13 | $131.83 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $186.21 | Professional | 26 · Professional part | $36.31 | $54.95 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $288.40 | Professional | TC · Technical part | $52.48 | $74.13 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $15.49 | $33.11 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $218.78 | Professional | None (both parts) | $57.54 | $74.13 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $44.67 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $190.55 | Professional | TC · Technical part | $19.95 | $25.70 | $190.55 |
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 $44.67 Median $45.71 Typical High $53.70 | Professional | 52 · Reduced service | $44.67 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.20 Typical High $21.88 | Professional | 53 · Discontinued | $17.78 | $18.20 | $21.88 |
Where Kentucky sits
The same service costs 5.4 times more in Hawaii 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
$57.54
HI $309KY $57.54
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.