How much rates vary
Facilitymedian $537 · 10th to 90th $282 to $891Professionalmedian $525 · 10th to 90th $178 to $1,202
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 $288.40 Median $288.40 Typical High $363.08 | Facility | None | $288.40 | $288.40 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $288.40 | $288.40 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $51.29 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $234.42 | $234.42 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $346.74 | Professional | 26 · Professional part | $128.82 | $128.82 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $537.03 Typical High $851.14 | Facility | None | $281.84 | $537.03 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $177.83 | $602.56 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $79.43 Typical High $181.97 | Professional | 26 · Professional part | $31.62 | $79.43 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $371.54 Typical High $912.01 | Professional | TC · Technical part | $158.49 | $371.54 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $645.65 Typical High $1,230.27 | Facility | None | $177.83 | $645.65 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $316.23 Typical High $1,659.59 | Professional | None (both parts) | $173.78 | $316.23 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $77.62 Typical High $281.84 | Professional | 26 · Professional part | $35.48 | $77.62 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $288.40 Typical High $1,584.89 | Professional | TC · Technical part | $147.91 | $288.40 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $1,479.11 | Professional | None | $436.52 | $602.56 | $1,479.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $489.78 Typical High $933.25 | Professional | None (both parts) | $79.43 | $489.78 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $537.03 Typical High $1,348.96 | Professional | None (both parts) | $251.19 | $537.03 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $208.93 | Professional | 26 · Professional part | $46.77 | $87.10 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $467.74 Typical High $1,148.15 | Professional | TC · Technical part | $204.17 | $467.74 | $1,148.15 |
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 $144.54 Median $144.54 Typical High $199.53 | Professional | 52 · Reduced service | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $79.43 | Professional | 53 · Discontinued | $57.54 | $57.54 | $79.43 |
Where Georgia sits
The same service costs 11.5 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· 25th of 51
$537
AK $1,778AL $155
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.