How much rates vary
Facilitymedian $31 · 10th to 90th $31 to $34Professionalmedian $35 · 10th to 90th $19 to $47
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 $30.90 Median $30.90 Typical High $33.88 | Facility | None | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | None (both parts) | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 26 · Professional part | $14.45 | $14.45 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.60 Typical High $18.62 | Professional | TC · Technical part | $16.22 | $16.60 | $18.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $46.77 | $53.70 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.62 Median $35.48 Typical High $42.66 | Professional | None (both parts) | $18.62 | $35.48 | $42.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $16.98 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $16.22 | $21.88 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $30.90 | $35.48 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $16.60 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.62 Typical High $33.11 | Professional | TC · Technical part | $15.14 | $18.62 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $69.18 | Professional | None | $27.54 | $38.02 | $69.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $32.36 | Professional | 26 · Professional part | $12.59 | $17.38 | $32.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $20.42 Typical High $37.15 | Professional | TC · Technical part | $14.79 | $20.42 | $37.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $23.99 Typical High $51.29 | Professional | None (both parts) | $21.38 | $23.99 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $27.54 | $38.02 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $26.30 | Professional | 26 · Professional part | $13.18 | $16.60 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.50 Typical High $38.90 | Professional | TC · Technical part | $14.13 | $19.50 | $38.90 |
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 $15.49 Median $15.49 Typical High $17.38 | Professional | 52 · Reduced service | $15.49 | $15.49 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.92 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.92 |
Where Georgia sits
The same service costs 3.4 times more in Alaska than in New York. 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
$34.67
AK $87.10NY $25.70
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.