How much rates vary
Facilitymedian $138 · 10th to 90th $62 to $251Professionalmedian $135 · 10th to 90th $102 to $209
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 $138.04 Median $141.25 Typical High $162.18 | Facility | None | $138.04 | $141.25 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $138.04 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $83.18 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $57.54 Typical High $67.61 | Professional | TC · Technical part | $54.95 | $57.54 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $102.33 | $134.90 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $83.18 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $39.81 | $52.48 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $79.43 Typical High $151.36 | Facility | None | $53.70 | $79.43 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $48.98 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $104.71 Typical High $147.91 | Facility | 26 · Professional part | $22.39 | $104.71 | $147.91 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $72.44 Typical High $104.71 | Facility | TC · Technical part | $15.49 | $72.44 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $741.31 | Professional | None (both parts) | $138.04 | $204.17 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $125.89 Typical High $426.58 | Professional | 26 · Professional part | $81.28 | $125.89 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $323.59 | Professional | TC · Technical part | $57.54 | $81.28 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $33.11 | $33.11 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $141.25 | $158.49 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $61.66 | $109.65 |
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 $69.18 Median $70.79 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $28.18 | $32.36 |
Where Kentucky sits
The same service costs 3.6 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· 44th of 51
$135
AK $380TX $105
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.