How much rates vary
Facilitymedian $126 · 10th to 90th $62 to $229Professionalmedian $129 · 10th to 90th $78 to $200
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 $123.03 Median $125.89 Typical High $169.82 | Facility | None | $123.03 | $125.89 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $123.03 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $74.13 | $77.62 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $81.28 | Professional | TC · Technical part | $48.98 | $51.29 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $123.03 | $131.83 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $95.50 | $107.15 | $125.89 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $95.50 | $128.82 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | TC · Technical part | $43.65 | $53.70 | $70.79 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $74.13 Typical High $158.49 | Facility | None | $47.86 | $74.13 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $46.77 | $77.62 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $93.33 Typical High $134.90 | Facility | 26 · Professional part | $19.95 | $93.33 | $134.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $67.61 Typical High $95.50 | Facility | TC · Technical part | $14.45 | $67.61 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $691.83 | Professional | None (both parts) | $123.03 | $194.98 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $389.05 | Professional | 26 · Professional part | $74.13 | $112.20 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $81.28 Typical High $295.12 | Professional | TC · Technical part | $50.12 | $81.28 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $33.11 | $33.11 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $131.83 | $147.91 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $87.10 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $63.10 | $114.82 |
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 $61.66 Median $63.10 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $30.20 | Professional | 53 · Discontinued | $24.55 | $25.12 | $30.20 |
Where Kentucky sits
The same service costs 4.0 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· 45th of 51
$129
AK $339TX $85.11
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.