How much rates vary
Facilitymedian $138 · 10th to 90th $29 to $240Professionalmedian $123 · 10th to 90th $69 to $195
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 $72.44 Median $138.04 Typical High $141.25 | Facility | None | $72.44 | $138.04 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $138.04 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $26.30 | $26.92 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $109.65 | $114.82 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $125.89 | $125.89 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $72.44 | $107.15 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $26.30 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $38.90 | $83.18 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $109.65 Typical High $173.78 | Facility | None | $25.12 | $109.65 | $173.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $39.81 | Professional | None (both parts) | $25.12 | $32.36 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $32.36 Typical High $45.71 | Facility | 26 · Professional part | $6.92 | $32.36 | $45.71 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $134.90 Typical High $194.98 | Facility | TC · Technical part | $28.84 | $134.90 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $173.78 Typical High $831.76 | Professional | None (both parts) | $85.11 | $173.78 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $138.04 | Professional | 26 · Professional part | $26.30 | $38.90 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $134.90 Typical High $602.56 | Professional | TC · Technical part | $54.95 | $134.90 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $85.11 | $141.25 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $28.84 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $60.26 | $109.65 | $208.93 |
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 $67.61 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.88 |
Where Kentucky sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 50th of 51
$126
AK $347NM $120
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.