How much rates vary
Facilitymedian $81 · 10th to 90th $51 to $151Professionalmedian $89 · 10th to 90th $35 to $209
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 $67.61 Median $67.61 Typical High $87.10 | Facility | None | $67.61 | $67.61 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $87.10 | Professional | None (both parts) | $61.66 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $14.45 | $14.45 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $48.98 | $52.48 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $100.00 | Facility | None | $50.12 | $81.28 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $89.13 Typical High $208.93 | Professional | None (both parts) | $34.67 | $89.13 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $23.44 Typical High $52.48 | Professional | 26 · Professional part | $9.55 | $23.44 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $56.23 Typical High $169.82 | Professional | TC · Technical part | $20.42 | $56.23 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $128.82 Typical High $204.17 | Facility | None | $64.57 | $128.82 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $281.84 | Professional | None (both parts) | $39.81 | $52.48 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $20.89 Typical High $72.44 | Professional | 26 · Professional part | $9.77 | $20.89 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $245.47 | Professional | TC · Technical part | $28.84 | $38.90 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $537.03 | Professional | None | $74.13 | $104.71 | $537.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $20.89 | $83.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $104.71 Typical High $245.47 | Professional | None (both parts) | $56.23 | $104.71 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $25.70 Typical High $56.23 | Professional | 26 · Professional part | $13.80 | $25.70 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $77.62 Typical High $190.55 | Professional | TC · Technical part | $42.66 | $77.62 | $190.55 |
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 $33.11 Median $33.88 Typical High $43.65 | Professional | 52 · Reduced service | $33.11 | $33.88 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.49 Typical High $17.38 | Professional | 53 · Discontinued | $13.18 | $13.49 | $17.38 |
Where Georgia sits
The same service costs 4.0 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· 30th of 51
$89.13
AK $234AL $58.88
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.