How much rates vary
Facilitymedian $347 · 10th to 90th $138 to $724Professionalmedian $363 · 10th to 90th $110 to $955
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 $281.84 Median $281.84 Typical High $363.08 | Facility | None | $281.84 | $281.84 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $1,698.24 | Professional | None (both parts) | $281.84 | $331.13 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $275.42 | Professional | 26 · Professional part | $42.66 | $54.95 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $1,412.54 | Professional | TC · Technical part | $239.88 | $275.42 | $1,412.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $107.15 Typical High $117.49 | Professional | 26 · Professional part | $30.20 | $107.15 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $309.03 Typical High $457.09 | Facility | None | $138.04 | $309.03 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $346.74 Typical High $954.99 | Professional | None (both parts) | $141.25 | $346.74 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $66.07 Typical High $151.36 | Professional | 26 · Professional part | $21.38 | $66.07 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $794.33 | Professional | TC · Technical part | $125.89 | $186.21 | $794.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $70.79 | $346.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $616.60 Typical High $1,000.00 | Facility | None | $223.87 | $616.60 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $269.15 Typical High $1,513.56 | Professional | None (both parts) | $102.33 | $269.15 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $60.26 Typical High $234.42 | Professional | 26 · Professional part | $30.90 | $60.26 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $177.83 Typical High $1,258.93 | Professional | TC · Technical part | $69.18 | $177.83 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $1,202.26 | Professional | None | $354.81 | $489.78 | $1,202.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $66.07 | $389.05 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $1,071.52 | Professional | None (both parts) | $223.87 | $407.38 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $72.44 Typical High $173.78 | Professional | 26 · Professional part | $40.74 | $72.44 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $346.74 Typical High $912.01 | Professional | TC · Technical part | $158.49 | $346.74 | $912.01 |
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 $141.25 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $141.25 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | 53 · Discontinued | $56.23 | $56.23 | $72.44 |
Where Georgia sits
The same service costs 9.1 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· 27th of 51
$363
AK $891AL $97.72
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.