How much rates vary
Facilitymedian $135 · 10th to 90th $58 to $324Professionalmedian $117 · 10th to 90th $42 to $324
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 $97.72 Median $97.72 Typical High $107.15 | Facility | None | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $398.11 | Professional | None (both parts) | $97.72 | $120.23 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $104.71 | Professional | 26 · Professional part | $23.99 | $32.36 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $302.00 | Professional | TC · Technical part | $72.44 | $89.13 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $134.90 Typical High $323.59 | Facility | None | $52.48 | $134.90 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $104.71 Typical High $309.03 | Professional | None (both parts) | $41.69 | $104.71 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $43.65 Typical High $87.10 | Professional | 26 · Professional part | $16.60 | $43.65 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $58.88 Typical High $234.42 | Professional | TC · Technical part | $25.12 | $58.88 | $234.42 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $39.81 | $117.49 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $194.98 Typical High $346.74 | Facility | None | $66.07 | $194.98 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $87.10 Typical High $478.63 | Professional | None (both parts) | $45.71 | $87.10 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $36.31 Typical High $128.82 | Professional | 26 · Professional part | $17.38 | $36.31 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $58.88 Typical High $407.38 | Professional | TC · Technical part | $25.12 | $58.88 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $426.58 | Professional | None | $125.89 | $165.96 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $37.15 | $138.04 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $128.82 Typical High $380.19 | Professional | None (both parts) | $77.62 | $128.82 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $22.39 | $46.77 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $91.20 Typical High $288.40 | Professional | TC · Technical part | $50.12 | $91.20 | $288.40 |
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 $47.86 Median $47.86 Typical High $63.10 | Professional | 52 · Reduced service | $47.86 | $47.86 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $25.12 | Professional | 53 · Discontinued | $19.50 | $19.50 | $25.12 |
Where Georgia sits
The same service costs 5.2 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· 33rd of 51
$123
AK $309AL $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.