How much rates vary
Facilitymedian $69 · 10th to 90th $37 to $155Professionalmedian $74 · 10th to 90th $25 to $186
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 $53.70 Median $53.70 Typical High $89.13 | Facility | None | $53.70 | $53.70 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $69.18 Typical High $223.87 | Professional | None (both parts) | $50.12 | $69.18 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.48 Typical High $33.11 | Professional | 26 · Professional part | $8.13 | $11.48 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $58.88 Typical High $190.55 | Professional | TC · Technical part | $45.71 | $58.88 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $36.31 | $141.25 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $19.50 Typical High $21.88 | Professional | 26 · Professional part | $5.50 | $19.50 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $57.54 Typical High $95.50 | Facility | None | $31.62 | $57.54 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $74.13 Typical High $177.83 | Professional | None (both parts) | $28.84 | $74.13 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $12.59 Typical High $28.84 | Professional | 26 · Professional part | $5.01 | $12.59 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $61.66 Typical High $151.36 | Professional | TC · Technical part | $19.05 | $61.66 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.18 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $13.18 | $74.13 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $114.82 Typical High $213.80 | Facility | None | $66.07 | $114.82 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $281.84 | Professional | None (both parts) | $30.90 | $41.69 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $12.02 Typical High $44.67 | Professional | 26 · Professional part | $5.62 | $12.02 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $51.29 Typical High $275.42 | Professional | TC · Technical part | $26.30 | $51.29 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $95.50 Typical High $263.03 | Professional | None | $39.81 | $95.50 | $263.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $15.85 | $81.28 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $77.62 Typical High $223.87 | Professional | None (both parts) | $46.77 | $77.62 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.80 Typical High $33.11 | Professional | 26 · Professional part | $7.59 | $13.80 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $64.57 Typical High $194.98 | Professional | TC · Technical part | $38.90 | $64.57 | $194.98 |
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 $26.92 Median $26.92 Typical High $34.67 | Professional | 52 · Reduced service | $26.92 | $26.92 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | 53 · Discontinued | $10.72 | $10.72 | $13.80 |
Where Georgia sits
The same service costs 6.0 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· 32nd of 51
$74.13
AK $209AL $34.67
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.