How much rates vary
Facilitymedian $166 · 10th to 90th $95 to $257Professionalmedian $120 · 10th to 90th $91 to $234
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 $91.20 Median $91.20 Typical High $97.72 | Facility | None | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $288.40 | Professional | None (both parts) | $85.11 | $97.72 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $79.43 | Professional | 26 · Professional part | $23.44 | $27.54 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $208.93 | Professional | TC · Technical part | $61.66 | $69.18 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $91.20 | $134.90 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $46.77 | $56.23 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $257.04 | Facility | None | $95.50 | $154.88 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $93.33 | $117.49 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $33.11 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $85.11 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $27.54 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $27.54 | $74.13 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $165.96 Typical High $269.15 | Facility | None | $125.89 | $165.96 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $107.15 | $165.96 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $30.20 | $45.71 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $117.49 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $302.00 | Professional | None | $114.82 | $134.90 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $29.51 | $35.48 | $51.29 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $97.72 | $147.91 |
Oscar Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $190.55 | Facility | None | $151.36 | $151.36 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $41.69 | $112.20 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $109.65 | $147.91 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $39.81 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $199.53 | Professional | TC · Technical part | $77.62 | $107.15 | $199.53 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | 59 · Distinct service | $173.78 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 30th of 51
$120
AK $309TX $83.18
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.