How much rates vary
Facilitymedian $32 · 10th to 90th $21 to $69Professionalmedian $43 · 10th to 90th $14 to $87
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 $21.38 Median $21.38 Typical High $50.12 | Facility | None | $21.38 | $21.38 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $28.18 Typical High $87.10 | Professional | None (both parts) | $21.38 | $28.18 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $6.46 Typical High $19.95 | Professional | 26 · Professional part | $4.57 | $6.46 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $69.18 | Professional | TC · Technical part | $16.60 | $21.88 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.79 Median $16.22 Typical High $63.10 | Professional | None (both parts) | $14.79 | $16.22 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $8.51 Typical High $12.88 | Professional | 26 · Professional part | $3.24 | $8.51 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $51.29 | Facility | None | $20.42 | $30.20 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $14.13 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $14.13 | $50.12 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $7.24 Typical High $16.60 | Professional | 26 · Professional part | $3.02 | $7.24 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $38.90 Typical High $66.07 | Professional | TC · Technical part | $12.30 | $38.90 | $66.07 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $28.18 Typical High $40.74 | Professional | None (both parts) | $7.59 | $28.18 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $57.54 Typical High $79.43 | Facility | None | $26.30 | $57.54 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $26.92 Typical High $125.89 | Professional | None (both parts) | $15.85 | $26.92 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $6.76 Typical High $25.70 | Professional | 26 · Professional part | $3.16 | $6.76 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $23.44 Typical High $102.33 | Professional | TC · Technical part | $12.88 | $23.44 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $50.12 Typical High $144.54 | Professional | None | $29.51 | $50.12 | $144.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $7.76 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $7.76 | $33.11 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $19.95 Median $48.98 Typical High $102.33 | Professional | None (both parts) | $19.95 | $48.98 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.37 Median $7.76 Typical High $19.05 | Professional | 26 · Professional part | $4.37 | $7.76 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $40.74 Typical High $83.18 | Professional | TC · Technical part | $14.45 | $40.74 | $83.18 |
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 $10.72 Median $10.72 Typical High $15.49 | Professional | 52 · Reduced service | $10.72 | $10.72 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $6.17 | Professional | 53 · Discontinued | $4.27 | $4.27 | $6.17 |
Where Georgia sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 27th of 51
$39.81
AK $123AR $28.18
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.