How much rates vary
Facilitymedian $102 · 10th to 90th $68 to $275Professionalmedian $135 · 10th to 90th $58 to $316
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 $83.18 Median $83.18 Typical High $190.55 | Facility | None | $83.18 | $83.18 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $389.05 | Professional | None (both parts) | $83.18 | $104.71 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $138.04 | Professional | 26 · Professional part | $29.51 | $38.90 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $245.47 | Professional | TC · Technical part | $53.70 | $66.07 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | None (both parts) | $52.48 | $52.48 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $102.33 Typical High $323.59 | Facility | None | $60.26 | $102.33 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $151.36 Typical High $316.23 | Professional | None (both parts) | $57.54 | $151.36 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $20.89 | $57.54 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $87.10 Typical High $199.53 | Professional | TC · Technical part | $37.15 | $87.10 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $47.86 Median $79.43 Typical High $141.25 | Professional | None (both parts) | $47.86 | $79.43 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $229.09 | Facility | None | $69.18 | $128.82 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $120.23 Typical High $398.11 | Professional | None (both parts) | $58.88 | $120.23 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $43.65 Typical High $158.49 | Professional | 26 · Professional part | $20.89 | $43.65 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $61.66 Typical High $288.40 | Professional | TC · Technical part | $38.90 | $61.66 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $954.99 | Professional | None | $104.71 | $147.91 | $954.99 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $44.67 | $114.82 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $165.96 Typical High $338.84 | Professional | None (both parts) | $77.62 | $165.96 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $28.18 | $63.10 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $48.98 | $107.15 | $218.78 |
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 $41.69 Median $41.69 Typical High $53.70 | Professional | 52 · Reduced service | $41.69 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | 53 · Discontinued | $16.60 | $16.60 | $21.88 |
Where Georgia sits
The same service costs 4.5 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· 32nd of 51
$129
AK $316AL $70.79
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.