How much rates vary
Facilitymedian $60 · 10th to 90th $19 to $107Professionalmedian $87 · 10th to 90th $49 to $141
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 $51.29 Median $60.26 Typical High $61.66 | Facility | None | $51.29 | $60.26 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $131.83 | Professional | None (both parts) | $60.26 | $61.66 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $17.38 | $17.78 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $102.33 | Professional | TC · Technical part | $42.66 | $43.65 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $48.98 | $91.20 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.05 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $19.05 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $21.38 | $70.79 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $41.69 Typical High $66.07 | Facility | None | $16.60 | $41.69 | $66.07 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.60 Median $21.88 Typical High $26.92 | Professional | None (both parts) | $16.60 | $21.88 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $4.57 Median $21.38 Typical High $30.20 | Facility | 26 · Professional part | $4.57 | $21.38 | $30.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $11.75 Median $53.70 Typical High $77.62 | Facility | TC · Technical part | $11.75 | $53.70 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $141.25 Typical High $371.54 | Professional | None (both parts) | $60.26 | $141.25 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.70 Typical High $89.13 | Professional | 26 · Professional part | $17.38 | $25.70 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $117.49 Typical High $309.03 | Professional | TC · Technical part | $43.65 | $117.49 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $25.12 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $60.26 | $104.71 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $15.85 | $19.05 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $44.67 | $81.28 | $120.23 |
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 $29.51 Median $30.90 Typical High $36.31 | Professional | 52 · Reduced service | $29.51 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $12.30 | $14.45 |
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· 28th of 51
$87.10
AK $162TX $51.29
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.