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 $56.23 Median $58.88 Typical High $58.88 | Facility | None | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $33.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $22.39 | $24.55 | $24.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $69.18 Typical High $169.82 | Professional | None (both parts) | $30.90 | $69.18 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $58.88 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $58.88 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $74.13 | Professional | TC · Technical part | $28.18 | $33.88 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $151.36 | Professional | None | $91.20 | $95.50 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $85.11 Typical High $229.09 | Professional | None (both parts) | $53.70 | $85.11 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $138.04 | Professional | 26 · Professional part | $32.36 | $50.12 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $95.50 | Professional | TC · Technical part | $21.88 | $34.67 | $95.50 |
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 $28.18 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $28.18 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.22 | $11.75 | $11.75 |
Where Georgia sits
The same service costs 14.8 times more in Texas than in Arkansas. 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· 27th of 51
$69.18
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.