How much rates vary
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 $131.83 Median $141.25 Typical High $204.17 | Facility | None | $131.83 | $141.25 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $141.25 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $60.26 | $67.61 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $114.82 | $144.54 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $83.18 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $29.51 | $57.54 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $89.13 Typical High $186.21 | Facility | None | $64.57 | $89.13 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $64.57 | $83.18 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $95.50 Typical High $134.90 | Facility | 26 · Professional part | $20.42 | $95.50 | $134.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $87.10 Typical High $125.89 | Facility | TC · Technical part | $19.05 | $87.10 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $776.25 | Professional | None (both parts) | $123.03 | $199.53 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $389.05 | Professional | 26 · Professional part | $75.86 | $114.82 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $91.20 Typical High $389.05 | Professional | TC · Technical part | $36.31 | $91.20 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $75.86 | Professional | None (both parts) | $33.11 | $33.11 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $316.23 | Professional | None (both parts) | $109.65 | $141.25 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $158.49 | Professional | 26 · Professional part | $69.18 | $85.11 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $53.70 Typical High $154.88 | Professional | TC · Technical part | $30.90 | $53.70 | $154.88 |
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 $70.79 Median $74.13 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $29.51 | $31.62 |
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· 46th of 51
$141
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.