How much rates vary
Facilitymedian $234 · 10th to 90th $100 to $417Professionalmedian $234 · 10th to 90th $155 to $363
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 $229.09 Median $234.42 Typical High $316.23 | Facility | None | $229.09 | $234.42 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $229.09 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $154.88 Typical High $213.80 | Professional | 26 · Professional part | $147.91 | $154.88 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $77.62 | $79.43 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $218.78 | $218.78 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $204.17 Typical High $213.80 | Professional | 26 · Professional part | $190.55 | $204.17 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $177.83 | $239.88 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $112.20 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $120.23 | Professional | TC · Technical part | $69.18 | $91.20 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $295.12 | Facility | None | $75.86 | $165.96 | $295.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $74.13 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $74.13 | $154.88 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $186.21 Typical High $263.03 | Facility | 26 · Professional part | $39.81 | $186.21 | $263.03 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $104.71 Typical High $151.36 | Facility | TC · Technical part | $22.39 | $104.71 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $1,230.27 | Professional | None (both parts) | $229.09 | $363.08 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $223.87 Typical High $758.58 | Professional | 26 · Professional part | $147.91 | $223.87 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $138.04 Typical High $467.74 | Professional | TC · Technical part | $81.28 | $138.04 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $125.89 | Professional | None (both parts) | $33.11 | $33.11 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $245.47 | $281.84 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $173.78 Typical High $309.03 | Professional | 26 · Professional part | $151.36 | $173.78 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $93.33 | $107.15 | $181.97 |
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 $112.20 Median $117.49 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $46.77 | $54.95 |
Where Kentucky sits
The same service costs 3.3 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
$234
AK $589TX $178
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.