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 $81.28 Median $81.28 Typical High $87.10 | Facility | None | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $89.13 | Professional | None (both parts) | $79.43 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | 26 · Professional part | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $40.74 | Professional | TC · Technical part | $37.15 | $38.90 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $57.54 | $91.20 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $47.86 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $44.67 Typical High $50.12 | Professional | TC · Technical part | $28.84 | $44.67 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $75.86 | $81.28 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $63.10 | Professional | TC · Technical part | $35.48 | $38.90 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $147.91 | Professional | None | $70.79 | $97.72 | $147.91 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $50.12 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $147.91 | Professional | TC · Technical part | $34.67 | $47.86 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $67.61 | $83.18 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $42.66 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $57.54 | Professional | TC · Technical part | $30.90 | $40.74 | $57.54 |
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 $39.81 Median $39.81 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | 53 · Discontinued | $16.22 | $16.22 | $17.78 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 30th of 51
$83.18
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.