How much rates vary
Facilitymedian $17 · 10th to 90th $17 to $52Professionalmedian $19 · 10th to 90th $13 to $37
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 $16.60 Median $16.60 Typical High $18.62 | Facility | None | $16.60 | $16.60 | $18.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | None (both parts) | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $15.14 | Professional | 26 · Professional part | $13.18 | $13.18 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $3.47 Typical High $3.72 | Professional | TC · Technical part | $3.47 | $3.47 | $3.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.88 Median $19.05 Typical High $35.48 | Professional | None (both parts) | $12.88 | $19.05 | $35.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $22.39 | Professional | 26 · Professional part | $12.88 | $15.85 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.89 Typical High $7.59 | Professional | TC · Technical part | $3.39 | $3.89 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.44 Typical High $39.81 | Professional | None (both parts) | $18.62 | $23.44 | $39.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $30.90 | Professional | 26 · Professional part | $13.80 | $13.80 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $10.00 Typical High $10.00 | Professional | TC · Technical part | $3.02 | $10.00 | $10.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $97.72 | Professional | None | $14.45 | $19.95 | $97.72 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $11.48 | $15.49 | $26.92 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $4.17 Typical High $97.72 | Professional | TC · Technical part | $3.02 | $4.17 | $97.72 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $4.47 Median $18.62 Typical High $36.31 | Professional | None (both parts) | $4.47 | $18.62 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $14.45 Median $21.88 Typical High $54.95 | Professional | None (both parts) | $14.45 | $21.88 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $23.44 | Professional | 26 · Professional part | $11.75 | $13.49 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $3.72 Typical High $37.15 | Professional | TC · Technical part | $2.57 | $3.72 | $37.15 |
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 $8.32 Median $8.32 Typical High $9.55 | Professional | 52 · Reduced service | $8.32 | $8.32 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.80 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.80 |
Where Georgia sits
The same service costs 2.5 times more in California 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· 35th of 51
$18.62
CA $40.74TX $16.22
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.