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 $144.54 Median $144.54 Typical High $154.88 | Facility | None | $144.54 | $144.54 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $154.88 | Professional | None (both parts) | $125.89 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $41.69 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $107.15 | Professional | TC · Technical part | $93.33 | $102.33 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $39.81 | $141.25 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $45.71 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $95.50 | $120.23 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $141.25 Typical High $309.03 | Professional | None (both parts) | $53.70 | $141.25 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $14.13 | $41.69 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $100.00 Typical High $245.47 | Professional | TC · Technical part | $36.31 | $100.00 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $275.42 | Professional | None | $151.36 | $177.83 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $194.98 | Professional | 26 · Professional part | $25.12 | $29.51 | $194.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $125.89 | $147.91 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $30.20 | $141.25 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $72.44 | $162.18 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $54.95 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $245.47 | Professional | TC · Technical part | $75.86 | $117.49 | $245.47 |
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 $69.18 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $69.18 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $28.84 | $31.62 |
Where Georgia sits
The same service costs 5.2 times more in Alaska than in Indiana. 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
$145
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.