How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $117.49 Typical High $154.88 | Facility | None | $56.23 | $117.49 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $81.28 | Professional | None (both parts) | $61.66 | $77.62 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $91.20 Typical High $112.20 | Facility | None | $53.70 | $91.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $28.84 | $45.71 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $186.21 Typical High $257.04 | Facility | None | $109.65 | $186.21 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $95.50 | $102.33 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $109.65 | Professional | None | $91.20 | $91.20 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $177.83 | Professional | None (both parts) | $35.48 | $50.12 | $177.83 |
4 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 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $56.23 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $32.36 Typical High $39.81 | Professional | 52 · Reduced service | $27.54 | $32.36 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.18 Typical High $16.22 | Professional | 53 · Discontinued | $11.22 | $13.18 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $85.11 | $162.18 |
Where Georgia sits
The same service costs 8.5 times more in Alaska than in Alabama. 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.
Georgia· 43rd of 51
$50.12
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.