How much rates vary
Facilitymedian $158 · 10th to 90th $91 to $295Professionalmedian $148 · 10th to 90th $55 to $372
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 $123.03 Median $123.03 Typical High $158.49 | Facility | None | $123.03 | $123.03 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $512.86 | Professional | None (both parts) | $123.03 | $154.88 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $120.23 | Professional | 26 · Professional part | $29.51 | $39.81 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $389.05 | Professional | TC · Technical part | $93.33 | $112.20 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $295.12 | Professional | None (both parts) | $77.62 | $85.11 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $158.49 Typical High $194.98 | Facility | None | $91.20 | $158.49 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $138.04 Typical High $338.84 | Professional | None (both parts) | $46.77 | $138.04 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $14.13 | $52.48 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $63.10 Typical High $194.98 | Professional | TC · Technical part | $34.67 | $63.10 | $194.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $46.77 | $147.91 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $229.09 Typical High $407.38 | Facility | None | $79.43 | $229.09 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $562.34 | Professional | None (both parts) | $70.79 | $89.13 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.90 Typical High $138.04 | Professional | 26 · Professional part | $20.42 | $30.90 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $67.61 Typical High $426.58 | Professional | TC · Technical part | $41.69 | $67.61 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $549.54 | Professional | None | $169.82 | $257.04 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $223.87 | Professional | 26 · Professional part | $40.74 | $61.66 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $131.83 | $194.98 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $44.67 | $173.78 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $181.97 Typical High $457.09 | Professional | None (both parts) | $107.15 | $181.97 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $28.84 | $57.54 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $134.90 Typical High $346.74 | Professional | TC · Technical part | $67.61 | $134.90 | $346.74 |
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 $61.66 Median $66.07 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $26.30 | $32.36 |
Where Georgia sits
The same service costs 4.9 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· 37th of 51
$151
AK $468AL $95.50
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.