How much rates vary
Facilitymedian $65 · 10th to 90th $65 to $71Professionalmedian $74 · 10th to 90th $52 to $148
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 $64.57 Median $64.57 Typical High $70.79 | Facility | None | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $67.61 Typical High $158.49 | Professional | None (both parts) | $64.57 | $67.61 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $37.15 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.90 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $30.90 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $93.33 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $74.13 Typical High $141.25 | Professional | None (both parts) | $52.48 | $74.13 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $38.90 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $20.89 | $36.31 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $70.79 | $91.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $50.12 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $43.65 Typical High $95.50 | Professional | TC · Technical part | $28.18 | $43.65 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $389.05 | Professional | None | $70.79 | $91.20 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $251.19 | Professional | 26 · Professional part | $35.48 | $46.77 | $251.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $134.90 | Professional | TC · Technical part | $34.67 | $42.66 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $35.48 | $70.79 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $85.11 Typical High $190.55 | Professional | None (both parts) | $56.23 | $85.11 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $50.12 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $93.33 | Professional | TC · Technical part | $23.44 | $32.36 | $93.33 |
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 $32.36 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.45 |
Where Georgia sits
The same service costs 3.3 times more in Alaska 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· 29th of 51
$74.13
AK $162UT $48.98
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.