How much rates vary
Facilitymedian $126 · 10th to 90th $39 to $214Professionalmedian $112 · 10th to 90th $69 to $174
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 $125.89 Typical High $128.82 | Facility | None | $72.44 | $125.89 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $125.89 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $25.12 | $25.70 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $100.00 | $104.71 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $69.18 | $102.33 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $26.30 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $38.90 | $81.28 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $100.00 Typical High $154.88 | Facility | None | $23.99 | $100.00 | $154.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.88 Median $31.62 Typical High $38.90 | Professional | None (both parts) | $21.88 | $31.62 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $30.90 Typical High $43.65 | Facility | 26 · Professional part | $6.61 | $30.90 | $43.65 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $120.23 Typical High $169.82 | Facility | TC · Technical part | $25.70 | $120.23 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $162.18 Typical High $660.69 | Professional | None (both parts) | $83.18 | $162.18 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.90 Typical High $138.04 | Professional | 26 · Professional part | $25.70 | $38.90 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $123.03 Typical High $524.81 | Professional | TC · Technical part | $53.70 | $123.03 | $524.81 |
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 $83.18 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $83.18 | $134.90 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $29.51 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $104.71 | $194.98 |
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 $63.10 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $26.30 | $29.51 |
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· 47th of 51
$112
AK $324TX $102
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.