How much rates vary
Facilitymedian $115 · 10th to 90th $54 to $288Professionalmedian $126 · 10th to 90th $54 to $363
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 $93.33 Median $93.33 Typical High $120.23 | Facility | None | $93.33 | $93.33 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $93.33 | $93.33 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $25.70 | $25.70 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | TC · Technical part | $67.61 | $67.61 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $165.96 | Facility | None | $51.29 | $95.50 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $125.89 Typical High $338.84 | Professional | None (both parts) | $53.70 | $125.89 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $16.22 | $43.65 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $81.28 Typical High $263.03 | Professional | TC · Technical part | $29.51 | $81.28 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $204.17 Typical High $389.05 | Facility | None | $69.18 | $204.17 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $83.18 Typical High $524.81 | Professional | None (both parts) | $47.86 | $83.18 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $35.48 Typical High $138.04 | Professional | 26 · Professional part | $17.38 | $35.48 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $64.57 Typical High $446.68 | Professional | TC · Technical part | $28.84 | $64.57 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $467.74 | Professional | None | $134.90 | $190.55 | $467.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $48.98 | $154.88 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $141.25 Typical High $416.87 | Professional | None (both parts) | $83.18 | $141.25 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $44.67 Typical High $104.71 | Professional | 26 · Professional part | $23.99 | $44.67 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $323.59 | Professional | TC · Technical part | $60.26 | $100.00 | $323.59 |
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 $46.77 Median $46.77 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $24.55 | Professional | 53 · Discontinued | $18.62 | $18.62 | $24.55 |
Where Georgia sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 33rd of 51
$126
AK $331AL $57.54
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.