How much rates vary
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 $21.38 Median $25.12 Typical High $26.92 | Facility | None | $21.38 | $25.12 | $26.92 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $21.38 Typical High $25.70 | Professional | None (both parts) | $18.20 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.51 Typical High $10.23 | Professional | 26 · Professional part | $8.32 | $8.51 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $12.88 Typical High $15.49 | Professional | TC · Technical part | $9.77 | $12.88 | $15.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.22 Median $21.38 Typical High $21.88 | Professional | None (both parts) | $16.22 | $21.38 | $21.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $7.24 | $8.51 | $11.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $12.59 Typical High $19.50 | Professional | TC · Technical part | $9.33 | $12.59 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $1.70 Median $7.76 Typical High $11.22 | Facility | 26 · Professional part | $1.70 | $7.76 | $11.22 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2.24 Median $10.47 Typical High $14.79 | Facility | TC · Technical part | $2.24 | $10.47 | $14.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $17.78 Typical High $91.20 | Professional | None (both parts) | $16.98 | $17.78 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $38.90 | Professional | 26 · Professional part | $7.41 | $7.41 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $10.23 Typical High $53.70 | Professional | TC · Technical part | $9.77 | $10.23 | $53.70 |
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 $16.60 Median $19.50 Typical High $33.88 | Professional | None (both parts) | $16.60 | $19.50 | $33.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $15.14 | Professional | 26 · Professional part | $7.24 | $8.71 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $11.22 Typical High $18.20 | Professional | TC · Technical part | $9.33 | $11.22 | $18.20 |
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 $9.12 Median $10.72 Typical High $12.88 | Professional | 52 · Reduced service | $9.12 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $3.63 | $4.27 | $5.13 |
Where Kentucky sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 30th of 51
$21.38
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.