How much rates vary
Facilitymedian $107 · 10th to 90th $47 to $195Professionalmedian $135 · 10th to 90th $98 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 $107.15 Median $112.20 Typical High $147.91 | Facility | None | $107.15 | $112.20 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $107.15 | $112.20 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $43.65 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $67.61 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $102.33 | $134.90 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $43.65 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $158.49 | Professional | TC · Technical part | $60.26 | $77.62 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $64.57 Typical High $120.23 | Facility | None | $40.74 | $64.57 | $120.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $40.74 | $51.29 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $51.29 Typical High $74.13 | Facility | 26 · Professional part | $10.96 | $51.29 | $74.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $85.11 Typical High $123.03 | Facility | TC · Technical part | $18.20 | $85.11 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $177.83 Typical High $588.84 | Professional | None (both parts) | $109.65 | $177.83 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $223.87 | Professional | 26 · Professional part | $41.69 | $66.07 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $109.65 Typical High $380.19 | Professional | TC · Technical part | $61.66 | $109.65 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $33.11 | $33.11 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $97.72 | $138.04 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $83.18 | $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 $53.70 Median $54.95 Typical High $72.44 | Professional | 52 · Reduced service | $53.70 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $28.84 | Professional | 53 · Discontinued | $21.38 | $22.39 | $28.84 |
Where Kentucky sits
The same service costs 3.2 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· 27th of 51
$135
AK $302TX $93.33
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.