How much rates vary
Facilitymedian $1,778 · 10th to 90th $550 to $7,244Professionalmedian $447 · 10th to 90th $263 to $891
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 $446.68 Median $3,548.13 Typical High $7,585.78 | Facility | None | $446.68 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $446.68 Typical High $501.19 | Professional | None (both parts) | $416.87 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $93.33 | $93.33 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $354.81 Typical High $389.05 | Professional | TC · Technical part | $323.59 | $354.81 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $831.76 Typical High $1,659.59 | Facility | None | $549.54 | $831.76 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $467.74 Typical High $831.76 | Professional | None (both parts) | $263.03 | $467.74 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $128.82 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $338.84 Typical High $645.65 | Professional | TC · Technical part | $169.82 | $338.84 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $1,258.93 | Professional | None (both parts) | $275.42 | $446.68 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $302.00 | Professional | 26 · Professional part | $100.00 | $141.25 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $346.74 Typical High $1,071.52 | Professional | TC · Technical part | $199.53 | $346.74 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $588.84 | Professional | None | $338.84 | $467.74 | $588.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $125.89 | $194.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $346.74 Typical High $426.58 | Professional | TC · Technical part | $302.00 | $346.74 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $165.96 | $537.03 | $707.95 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $2,818.38 | Facility | None | $691.83 | $1,778.28 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $549.54 Typical High $1,288.25 | Professional | None (both parts) | $281.84 | $549.54 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $158.49 Typical High $288.40 | Professional | 26 · Professional part | $87.10 | $158.49 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $436.52 Typical High $1,000.00 | Professional | TC · Technical part | $190.55 | $436.52 | $1,000.00 |
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 $208.93 Median $223.87 Typical High $251.19 | Professional | 52 · Reduced service | $208.93 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $89.13 Typical High $100.00 | Professional | 53 · Discontinued | $83.18 | $89.13 | $100.00 |
Where Georgia sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 22nd of 51
$468
AK $1,413KY $219
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.