How much rates vary
Facilitymedian $331 · 10th to 90th $56 to $631Professionalmedian $295 · 10th to 90th $195 to $447
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 $316.23 Median $331.13 Typical High $346.74 | Facility | None | $316.23 | $331.13 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $316.23 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $42.66 | $43.65 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $331.13 | Professional | TC · Technical part | $263.03 | $295.12 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $223.87 | $263.03 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $41.69 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $186.21 | $218.78 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $281.84 Typical High $446.68 | Facility | None | $41.69 | $281.84 | $446.68 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $40.74 | $288.40 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $52.48 Typical High $75.86 | Facility | 26 · Professional part | $11.22 | $52.48 | $75.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $389.05 Typical High $549.54 | Facility | TC · Technical part | $83.18 | $389.05 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $1,949.84 | Professional | None (both parts) | $323.59 | $426.58 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $218.78 | Professional | 26 · Professional part | $42.66 | $63.10 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $363.08 Typical High $1,698.24 | Professional | TC · Technical part | $275.42 | $363.08 | $1,698.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | None (both parts) | $33.11 | $33.11 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $275.42 | $323.59 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $524.81 | Professional | TC · Technical part | $229.09 | $275.42 | $524.81 |
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 $162.18 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $162.18 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $67.61 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $67.61 | $70.79 |
Where Kentucky sits
The same service costs 3.0 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
$295
AK $813NM $275
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.