How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $851.14 Median $851.14 Typical High $891.25 | Facility | None | $851.14 | $851.14 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | None (both parts) | $851.14 | $851.14 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $112.20 | $114.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $776.25 | Professional | TC · Technical part | $741.31 | $741.31 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $977.24 Typical High $1,778.28 | Professional | None (both parts) | $776.25 | $977.24 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $125.89 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $851.14 Typical High $1,548.82 | Professional | TC · Technical part | $691.83 | $851.14 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,288.25 Typical High $2,818.38 | Professional | None (both parts) | $954.99 | $1,288.25 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $169.82 Typical High $371.54 | Professional | 26 · Professional part | $125.89 | $169.82 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,096.48 Typical High $2,454.71 | Professional | TC · Technical part | $831.76 | $1,096.48 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $5,754.40 | Professional | None | $1,096.48 | $1,288.25 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $158.49 Typical High $208.93 | Professional | 26 · Professional part | $128.82 | $158.49 | $208.93 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,047.13 Typical High $1,412.54 | Professional | TC · Technical part | $870.96 | $1,047.13 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,412.54 Typical High $2,754.23 | Professional | None (both parts) | $954.99 | $1,412.54 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $186.21 Typical High $371.54 | Professional | 26 · Professional part | $123.03 | $186.21 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,230.27 Typical High $2,398.83 | Professional | TC · Technical part | $831.76 | $1,230.27 | $2,398.83 |
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 $426.58 Median $426.58 Typical High $457.09 | Professional | 52 · Reduced service | $426.58 | $426.58 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | 53 · Discontinued | $169.82 | $169.82 | $181.97 |
Where Georgia sits
The same service costs 3.2 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· 40th of 51
$977
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.