How much rates vary
Facilitymedian $33 · 10th to 90th $13 to $68Professionalmedian $51 · 10th to 90th $22 to $135
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 $36.31 Median $36.31 Typical High $48.98 | Facility | None | $36.31 | $36.31 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $151.36 | Professional | None (both parts) | $36.31 | $48.98 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $85.11 | Professional | 26 · Professional part | $20.42 | $28.84 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $19.50 Typical High $66.07 | Professional | TC · Technical part | $12.88 | $19.50 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None (both parts) | $27.54 | $27.54 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $26.92 Typical High $45.71 | Facility | None | $12.02 | $26.92 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.22 Median $50.12 Typical High $125.89 | Professional | None (both parts) | $16.22 | $50.12 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $32.36 Typical High $74.13 | Professional | 26 · Professional part | $13.18 | $32.36 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.47 Typical High $53.70 | Professional | TC · Technical part | $8.71 | $10.47 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $54.95 Typical High $74.13 | Facility | None | $24.55 | $54.95 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $47.86 Typical High $186.21 | Professional | None (both parts) | $18.62 | $47.86 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $30.90 Typical High $112.20 | Professional | 26 · Professional part | $14.13 | $30.90 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $12.59 Typical High $95.50 | Professional | TC · Technical part | $4.57 | $12.59 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $194.98 | Professional | None | $48.98 | $75.86 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $52.48 Typical High $107.15 | Professional | None (both parts) | $27.54 | $52.48 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $54.95 Typical High $147.91 | Professional | None (both parts) | $33.11 | $54.95 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $81.28 | Professional | 26 · Professional part | $19.50 | $33.88 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $22.91 Typical High $69.18 | Professional | TC · Technical part | $9.33 | $22.91 | $69.18 |
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 $18.20 Median $18.20 Typical High $24.55 | Professional | 52 · Reduced service | $18.20 | $18.20 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $9.77 | Professional | 53 · Discontinued | $7.24 | $7.24 | $9.77 |
Where Georgia sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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
$48.98
AK $141LA $30.20
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.