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 $58.88 Median $58.88 Typical High $66.07 | Facility | None | $58.88 | $58.88 | $66.07 |
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 $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 $17.38 Median $17.38 Typical High $19.50 | Professional | TC · Technical part | $17.38 | $17.38 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $131.83 | Professional | None (both parts) | $44.67 | $67.61 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $51.29 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $38.90 | Professional | TC · Technical part | $15.14 | $22.91 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $67.61 | $91.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $64.57 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $57.54 | Professional | TC · Technical part | $19.50 | $26.30 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $107.15 | Professional | None | $66.07 | $72.44 | $107.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $50.12 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $37.15 | Professional | TC · Technical part | $19.95 | $22.39 | $37.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $64.57 Typical High $123.03 | Professional | None (both parts) | $27.54 | $64.57 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $64.57 | $107.15 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $74.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $31.62 Typical High $56.23 | Professional | TC · Technical part | $18.62 | $31.62 | $56.23 |
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 $29.51 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $29.51 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $13.49 | Professional | 53 · Discontinued | $11.75 | $11.75 | $13.49 |
Where Georgia sits
The same service costs 3.9 times more in Alaska 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· 34th of 51
$67.61
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.