How much rates vary
Facilitymedian $74 · 10th to 90th $46 to $138Professionalmedian $85 · 10th to 90th $38 to $229
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 $61.66 Median $61.66 Typical High $95.50 | Facility | None | $61.66 | $61.66 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $257.04 | Professional | None (both parts) | $61.66 | $81.28 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $77.62 | Professional | 26 · Professional part | $19.05 | $26.30 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $177.83 | Professional | TC · Technical part | $43.65 | $54.95 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $42.66 | $93.33 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $46.77 Typical High $51.29 | Professional | 26 · Professional part | $12.88 | $46.77 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $70.79 Typical High $91.20 | Facility | None | $40.74 | $70.79 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $67.61 Typical High $223.87 | Professional | None (both parts) | $32.36 | $67.61 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $21.88 Typical High $67.61 | Professional | 26 · Professional part | $12.02 | $21.88 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $154.88 | Professional | TC · Technical part | $25.70 | $45.71 | $154.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $72.44 Typical High $117.49 | Professional | None (both parts) | $30.90 | $72.44 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $117.49 Typical High $190.55 | Facility | None | $69.18 | $117.49 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $81.28 Typical High $346.74 | Professional | None (both parts) | $32.36 | $81.28 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $23.44 Typical High $104.71 | Professional | 26 · Professional part | $10.96 | $23.44 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $48.98 Typical High $245.47 | Professional | TC · Technical part | $21.38 | $48.98 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $295.12 | Professional | None | $85.11 | $112.20 | $295.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $40.74 | $102.33 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $93.33 Typical High $257.04 | Professional | None (both parts) | $56.23 | $93.33 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $29.51 Typical High $74.13 | Professional | 26 · Professional part | $17.78 | $29.51 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $64.57 Typical High $186.21 | Professional | TC · Technical part | $38.90 | $64.57 | $186.21 |
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 $30.90 Median $30.90 Typical High $40.74 | Professional | 52 · Reduced service | $30.90 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $12.59 | $12.59 | $16.22 |
Where Georgia sits
The same service costs 5.9 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· 39th of 51
$79.43
AK $347AL $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.