How much rates vary
Facilitymedian $263 · 10th to 90th $138 to $457Professionalmedian $257 · 10th to 90th $107 to $692
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 $190.55 Median $190.55 Typical High $295.12 | Facility | None | $190.55 | $190.55 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $794.33 | Professional | None (both parts) | $190.55 | $251.19 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $229.09 | Professional | 26 · Professional part | $54.95 | $77.62 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $562.34 | Professional | TC · Technical part | $138.04 | $173.78 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $125.89 | $177.83 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $37.15 | $85.11 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $251.19 Typical High $346.74 | Facility | None | $138.04 | $251.19 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $218.78 Typical High $645.65 | Professional | None (both parts) | $93.33 | $218.78 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $87.10 Typical High $194.98 | Professional | 26 · Professional part | $35.48 | $87.10 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $134.90 Typical High $446.68 | Professional | TC · Technical part | $57.54 | $134.90 | $446.68 |
CareSource Setting Professional Modifier None (both parts) Typical Low $89.13 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $89.13 | $218.78 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $346.74 Typical High $630.96 | Facility | None | $109.65 | $346.74 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $954.99 | Professional | None (both parts) | $95.50 | $173.78 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $81.28 Typical High $295.12 | Professional | 26 · Professional part | $38.02 | $81.28 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $123.03 Typical High $794.33 | Professional | TC · Technical part | $56.23 | $123.03 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $1,148.15 | Professional | None | $251.19 | $354.81 | $1,148.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $85.11 | $281.84 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $281.84 Typical High $758.58 | Professional | None (both parts) | $169.82 | $281.84 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $91.20 Typical High $223.87 | Professional | 26 · Professional part | $52.48 | $91.20 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $194.98 Typical High $562.34 | Professional | TC · Technical part | $104.71 | $194.98 | $562.34 |
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 $95.50 Median $95.50 Typical High $125.89 | Professional | 52 · Reduced service | $95.50 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $50.12 | Professional | 53 · Discontinued | $38.90 | $38.90 | $50.12 |
Where Georgia sits
The same service costs 4.2 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· 36th of 51
$257
AK $575AL $138
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.