How much rates vary
Facilitymedian $501 · 10th to 90th $145 to $933Professionalmedian $437 · 10th to 90th $309 to $676
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 $489.78 Median $501.19 Typical High $512.86 | Facility | None | $489.78 | $501.19 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $512.86 Typical High $562.34 | Professional | None (both parts) | $489.78 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $112.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $389.05 Typical High $426.58 | Professional | TC · Technical part | $363.08 | $389.05 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $331.13 | $416.87 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $109.65 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $245.47 | $302.00 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $109.65 Median $407.38 Typical High $645.65 | Facility | None | $109.65 | $407.38 | $645.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $107.15 Median $389.05 Typical High $575.44 | Professional | None (both parts) | $107.15 | $389.05 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $138.04 Typical High $199.53 | Facility | 26 · Professional part | $29.51 | $138.04 | $199.53 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $512.86 Typical High $741.31 | Facility | TC · Technical part | $109.65 | $512.86 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $645.65 Typical High $2,818.38 | Professional | None (both parts) | $501.19 | $645.65 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $165.96 Typical High $562.34 | Professional | 26 · Professional part | $109.65 | $165.96 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $489.78 Typical High $2,290.87 | Professional | TC · Technical part | $380.19 | $489.78 | $2,290.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $234.42 | Professional | None (both parts) | $33.11 | $33.11 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $436.52 | $501.19 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $128.82 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $380.19 Typical High $707.95 | Professional | TC · Technical part | $316.23 | $380.19 | $707.95 |
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 $245.47 Median $251.19 Typical High $263.03 | Professional | 52 · Reduced service | $245.47 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $102.33 Typical High $107.15 | Professional | 53 · Discontinued | $100.00 | $102.33 | $107.15 |
Where Kentucky sits
The same service costs 3.1 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· 49th of 51
$437
AK $1,259TX $407
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.