How much rates vary
Facilitymedian $363 · 10th to 90th $112 to $2,188Professionalmedian $316 · 10th to 90th $186 to $513
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 $234.42 Median $3,630.78 Typical High $7,943.28 | Facility | None | $234.42 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $234.42 | $257.04 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $81.28 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $154.88 | $158.49 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $1,288.25 | Facility | None | $354.81 | $537.03 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $316.23 Typical High $478.63 | Professional | None (both parts) | $186.21 | $316.23 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $104.71 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $199.53 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $162.18 Typical High $602.56 | Facility | None | $123.03 | $162.18 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $223.87 | $323.59 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $87.10 | $123.03 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $204.17 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $467.74 | Professional | None | $204.17 | $239.88 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $97.72 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $467.74 | Professional | TC · Technical part | $123.03 | $147.91 | $467.74 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $346.74 Typical High $691.83 | Professional | None (both parts) | $208.93 | $346.74 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $123.03 Typical High $229.09 | Professional | 26 · Professional part | $79.43 | $123.03 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $134.90 | $229.09 | $446.68 |
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 $114.82 Median $117.49 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $46.77 | $54.95 |
Where Georgia sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 18th of 51
$316
WI $708UT $135
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.