How much rates vary
Facilitymedian $158 · 10th to 90th $29 to $269Professionalmedian $115 · 10th to 90th $71 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 $74.13 Median $158.49 Typical High $162.18 | Facility | None | $74.13 | $158.49 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $165.96 | Professional | None (both parts) | $134.90 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $31.62 | Professional | 26 · Professional part | $25.70 | $25.70 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $141.25 | Professional | TC · Technical part | $107.15 | $131.83 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $72.44 | $104.71 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $29.51 | $41.69 |
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 $24.55 Median $128.82 Typical High $204.17 | Facility | None | $24.55 | $128.82 | $204.17 |
CareSource Setting Professional Modifier None (both parts) Typical Low $24.55 Median $32.36 Typical High $40.74 | Professional | None (both parts) | $24.55 | $32.36 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $31.62 Typical High $45.71 | Facility | 26 · Professional part | $6.76 | $31.62 | $45.71 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $154.88 Typical High $223.87 | Facility | TC · Technical part | $33.11 | $154.88 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $162.18 Typical High $812.83 | Professional | None (both parts) | $91.20 | $162.18 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $39.81 Typical High $141.25 | Professional | 26 · Professional part | $25.70 | $39.81 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $134.90 Typical High $691.83 | Professional | TC · Technical part | $54.95 | $134.90 | $691.83 |
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 $87.10 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $87.10 | $134.90 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $28.84 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $61.66 | $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 $64.57 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $25.70 | $31.62 | $33.88 |
Where Kentucky sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 51st of 51
$115
AK $324KY $115
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.