How much rates vary
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 $48.98 Median $48.98 Typical High $66.07 | Facility | None | $48.98 | $48.98 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $64.57 | Professional | None (both parts) | $48.98 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $24.55 | Professional | 26 · Professional part | $17.38 | $17.38 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | TC · Technical part | $30.90 | $30.90 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $51.29 Typical High $75.86 | Facility | None | $33.88 | $51.29 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $64.57 Typical High $169.82 | Professional | None (both parts) | $25.70 | $64.57 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $25.70 Typical High $63.10 | Professional | 26 · Professional part | $9.12 | $25.70 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $48.98 Typical High $100.00 | Professional | TC · Technical part | $20.42 | $48.98 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $77.62 Typical High $128.82 | Facility | None | $40.74 | $77.62 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $63.10 Typical High $245.47 | Professional | None (both parts) | $28.84 | $63.10 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $22.39 Typical High $91.20 | Professional | 26 · Professional part | $10.47 | $22.39 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $38.02 Typical High $154.88 | Professional | TC · Technical part | $18.20 | $38.02 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $616.60 | Professional | None | $57.54 | $83.18 | $616.60 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $64.57 Typical High $125.89 | Professional | None (both parts) | $25.70 | $64.57 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $79.43 Typical High $177.83 | Professional | None (both parts) | $44.67 | $79.43 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $28.84 Typical High $66.07 | Professional | 26 · Professional part | $16.60 | $28.84 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $50.12 Typical High $112.20 | Professional | TC · Technical part | $28.18 | $50.12 | $112.20 |
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 $24.55 Median $24.55 Typical High $32.36 | Professional | 52 · Reduced service | $24.55 | $24.55 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $12.88 | Professional | 53 · Discontinued | $9.77 | $9.77 | $12.88 |
Where Georgia sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 35th of 51
$63.10
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.