How much rates vary
Facilitymedian $120 · 10th to 90th $24 to $1,585Professionalmedian $65 · 10th to 90th $41 to $107
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 $44.67 Median $44.67 Typical High $67.61 | Facility | None | $44.67 | $44.67 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $47.86 Typical High $117.49 | Professional | None (both parts) | $43.65 | $47.86 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $29.51 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $17.78 Typical High $47.86 | Professional | TC · Technical part | $16.60 | $17.78 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $77.62 Typical High $100.00 | Professional | None (both parts) | $48.98 | $77.62 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $33.88 | $56.23 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $64.57 Typical High $107.15 | Professional | None (both parts) | $36.31 | $64.57 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $41.69 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $26.30 Typical High $40.74 | Professional | TC · Technical part | $12.02 | $26.30 | $40.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.44 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $23.44 | $36.31 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $25.70 Typical High $35.48 | Facility | None | $20.89 | $25.70 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $46.77 | $69.18 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $46.77 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $51.29 | Professional | TC · Technical part | $17.78 | $22.39 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $109.65 | Professional | None | $51.29 | $63.10 | $109.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $87.10 | Professional | 26 · Professional part | $30.20 | $38.02 | $87.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $109.65 | Professional | TC · Technical part | $21.38 | $25.70 | $109.65 |
Oscar Health Setting Facility Modifier None Typical Low $467.74 Median $660.69 Typical High $870.96 | Facility | None | $467.74 | $660.69 | $870.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $95.50 | Professional | None (both parts) | $38.02 | $54.95 | $95.50 |
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 $46.77 Median $67.61 Typical High $120.23 | Professional | None (both parts) | $46.77 | $67.61 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $46.77 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $14.79 | $24.55 | $50.12 |
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 $20.42 Median $21.88 Typical High $24.55 | Professional | 52 · Reduced service | $20.42 | $21.88 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.91 Typical High $9.77 | Professional | 53 · Discontinued | $8.13 | $8.91 | $9.77 |
Where Georgia sits
The same service costs 6.5 times more in Minnesota 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· 23rd of 51
$64.57
MN $295KY $45.71
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.