How much rates vary
Facilitymedian $93 · 10th to 90th $44 to $170Professionalmedian $65 · 10th to 90th $48 to $112
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 $56.23 Median $93.33 Typical High $109.65 | Facility | None | $56.23 | $93.33 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $69.18 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $32.36 | $33.11 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $61.66 Typical High $74.13 | Professional | TC · Technical part | $36.31 | $61.66 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $97.72 | Professional | None (both parts) | $51.29 | $60.26 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $26.30 | $35.48 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $13.80 | $28.84 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $66.07 Typical High $120.23 | Facility | None | $31.62 | $66.07 | $120.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $61.66 Typical High $102.33 | Professional | None (both parts) | $31.62 | $61.66 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $39.81 Typical High $57.54 | Facility | 26 · Professional part | $8.51 | $39.81 | $57.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $79.43 Typical High $112.20 | Facility | TC · Technical part | $16.98 | $79.43 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $104.71 Typical High $512.86 | Professional | None (both parts) | $57.54 | $104.71 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $165.96 | Professional | 26 · Professional part | $32.36 | $47.86 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $61.66 Typical High $346.74 | Professional | TC · Technical part | $16.60 | $61.66 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.20 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $67.61 Typical High $165.96 | Professional | None (both parts) | $46.77 | $67.61 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $31.62 Typical High $102.33 | Professional | TC · Technical part | $16.98 | $31.62 | $102.33 |
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 $41.69 Median $46.77 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $20.89 | Professional | 53 · Discontinued | $16.60 | $19.05 | $20.89 |
Where Kentucky sits
The same service costs 3.5 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
$64.57
AK $229KY $64.57
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.