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 $100.00 Median $100.00 Typical High $109.65 | Facility | None | $100.00 | $100.00 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $100.00 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $51.29 | $51.29 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | TC · Technical part | $48.98 | $48.98 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $91.20 | $125.89 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $67.61 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $64.57 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $331.13 | Professional | None (both parts) | $123.03 | $147.91 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $75.86 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $77.62 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $323.59 | Professional | None | $117.49 | $151.36 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $208.93 | Professional | 26 · Professional part | $54.95 | $70.79 | $208.93 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $323.59 | Professional | TC · Technical part | $61.66 | $72.44 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $316.23 | Professional | None (both parts) | $93.33 | $144.54 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $158.49 | Professional | 26 · Professional part | $50.12 | $77.62 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $66.07 Typical High $165.96 | Professional | TC · Technical part | $44.67 | $66.07 | $165.96 |
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 $50.12 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $19.95 | $19.95 | $22.39 |
Where Georgia sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$126
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.