How much rates vary
Facilitymedian $178 · 10th to 90th $78 to $324Professionalmedian $166 · 10th to 90th $59 to $417
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 $117.49 Median $117.49 Typical High $154.88 | Facility | None | $117.49 | $117.49 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $489.78 | Professional | None (both parts) | $117.49 | $154.88 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $104.71 | Professional | 26 · Professional part | $25.70 | $35.48 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $380.19 | Professional | TC · Technical part | $93.33 | $117.49 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $218.78 | Professional | None (both parts) | $87.10 | $87.10 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $17.38 | $63.10 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $173.78 Typical High $323.59 | Facility | None | $77.62 | $173.78 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $158.49 Typical High $416.87 | Professional | None (both parts) | $58.88 | $158.49 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $13.80 | $40.74 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $95.50 Typical High $331.13 | Professional | TC · Technical part | $54.95 | $95.50 | $331.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $42.66 | $144.54 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $257.04 Typical High $407.38 | Facility | None | $87.10 | $257.04 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $144.54 Typical High $676.08 | Professional | None (both parts) | $56.23 | $144.54 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $35.48 Typical High $141.25 | Professional | 26 · Professional part | $18.62 | $35.48 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $93.33 Typical High $524.81 | Professional | TC · Technical part | $35.48 | $93.33 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $537.03 | Professional | None | $138.04 | $204.17 | $537.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $39.81 | $173.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $489.78 | Professional | None (both parts) | $104.71 | $173.78 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $23.99 | $43.65 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $134.90 Typical High $380.19 | Professional | TC · Technical part | $77.62 | $134.90 | $380.19 |
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 $58.88 Median $58.88 Typical High $75.86 | Professional | 52 · Reduced service | $58.88 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $30.90 | Professional | 53 · Discontinued | $23.44 | $23.44 | $30.90 |
Where Georgia sits
The same service costs 7.1 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· 28th of 51
$170
AK $417AL $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.