How much rates vary
Facilitymedian $59 · 10th to 90th $59 to $65Professionalmedian $62 · 10th to 90th $43 to $79
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 $58.88 Median $58.88 Typical High $64.57 | Facility | None | $58.88 | $58.88 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | None (both parts) | $58.88 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $33.88 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | TC · Technical part | $24.55 | $24.55 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $72.44 | $93.33 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $30.90 | $67.61 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $38.90 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.18 Typical High $36.31 | Professional | TC · Technical part | $19.05 | $28.18 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $100.00 | Professional | None (both parts) | $56.23 | $67.61 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $38.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $22.39 | $28.84 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $83.18 | Professional | None | $52.48 | $70.79 | $83.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $39.81 | $57.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $22.91 | $31.62 | $58.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $97.72 | Professional | None (both parts) | $37.15 | $48.98 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $57.54 Typical High $89.13 | Professional | None (both parts) | $50.12 | $57.54 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $35.48 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.91 Typical High $36.31 | Professional | TC · Technical part | $17.78 | $22.91 | $36.31 |
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 $28.84 Median $28.84 Typical High $32.36 | Professional | 52 · Reduced service | $28.84 | $28.84 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $13.18 | Professional | 53 · Discontinued | $11.75 | $11.75 | $13.18 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 26th of 51
$61.66
AK $170FL $45.71
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.