How much rates vary
Facilitymedian $174 · 10th to 90th $81 to $4,467Professionalmedian $447 · 10th to 90th $93 to $832
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $251.19 Median $5,370.32 Typical High $12,589.25 | Facility | None | $251.19 | $5,370.32 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $251.19 | $263.03 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $229.09 | Professional | 26 · Professional part | $87.10 | $100.00 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $162.18 | $162.18 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $177.83 Typical High $218.78 | Professional | 26 · Professional part | $102.33 | $177.83 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $467.74 Typical High $831.76 | Professional | None (both parts) | $93.33 | $467.74 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $147.91 Typical High $223.87 | Professional | 26 · Professional part | $89.13 | $147.91 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $154.88 | $323.59 | $562.34 |
CareSource Setting Professional Modifier None (both parts) Typical Low $117.49 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $117.49 | $199.53 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $316.23 | $478.63 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $177.83 Typical High $323.59 | Professional | 26 · Professional part | $112.20 | $177.83 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $204.17 | $309.03 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $660.69 | Professional | None | $338.84 | $371.54 | $660.69 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $457.09 Typical High $2,089.30 | Professional | None (both parts) | $302.00 | $457.09 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $154.88 Typical High $302.00 | Professional | 26 · Professional part | $97.72 | $154.88 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $309.03 Typical High $1,862.09 | Professional | TC · Technical part | $208.93 | $309.03 | $1,862.09 |
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 $125.89 Median $128.82 Typical High $154.88 | Professional | 52 · Reduced service | $125.89 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $52.48 Typical High $61.66 | Professional | 53 · Discontinued | $50.12 | $52.48 | $61.66 |
Where Georgia sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 12th of 51
$447
WI $891HI $138
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.