How much rates vary
Facilitymedian $102 · 10th to 90th $47 to $191Professionalmedian $95 · 10th to 90th $78 to $151
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 $93.33 Median $102.33 Typical High $104.71 | Facility | None | $93.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $120.23 | Professional | None (both parts) | $97.72 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $47.86 | $48.98 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $47.86 | $54.95 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $77.62 | $95.50 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $52.48 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $44.67 Typical High $63.10 | Professional | TC · Technical part | $23.44 | $44.67 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $112.20 | Facility | None | $43.65 | $53.70 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $41.69 Median $57.54 Typical High $74.13 | Professional | None (both parts) | $41.69 | $57.54 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $60.26 Typical High $87.10 | Facility | 26 · Professional part | $12.88 | $60.26 | $87.10 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $74.13 Typical High $107.15 | Facility | TC · Technical part | $15.85 | $74.13 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $575.44 | Professional | None (both parts) | $93.33 | $141.25 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $245.47 | Professional | 26 · Professional part | $47.86 | $72.44 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $72.44 Typical High $331.13 | Professional | TC · Technical part | $36.31 | $72.44 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $33.11 | $33.11 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $74.13 | $100.00 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $52.48 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $43.65 Typical High $117.49 | Professional | TC · Technical part | $28.84 | $43.65 | $117.49 |
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 $50.12 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $50.12 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $22.39 | Professional | 53 · Discontinued | $19.95 | $20.89 | $22.39 |
Where Kentucky sits
The same service costs 3.9 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· 49th of 51
$95.50
AK $282TX $72.44
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.