How much rates vary
Facilitymedian $28 · 10th to 90th $28 to $52Professionalmedian $36 · 10th to 90th $23 to $83
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 $27.54 Median $27.54 Typical High $30.20 | Facility | None | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | None (both parts) | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $13.18 | Professional | 26 · Professional part | $11.48 | $11.48 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | TC · Technical part | $16.22 | $16.22 | $17.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $36.31 Typical High $77.62 | Professional | None (both parts) | $22.91 | $36.31 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $30.20 | Professional | 26 · Professional part | $11.22 | $16.22 | $30.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $58.88 | Professional | TC · Technical part | $18.62 | $25.12 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $97.72 | Professional | None (both parts) | $34.67 | $41.69 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $38.02 | Professional | 26 · Professional part | $14.45 | $16.22 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $60.26 | Professional | TC · Technical part | $20.42 | $25.12 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $169.82 | Professional | None | $33.88 | $43.65 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $74.13 | Professional | 26 · Professional part | $12.59 | $16.22 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $169.82 | Professional | TC · Technical part | $20.89 | $27.54 | $169.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.80 Median $33.88 Typical High $66.07 | Professional | None (both parts) | $13.80 | $33.88 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $42.66 Typical High $100.00 | Professional | None (both parts) | $26.30 | $42.66 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.98 Typical High $34.67 | Professional | 26 · Professional part | $10.96 | $16.98 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $24.55 Typical High $66.07 | Professional | TC · Technical part | $15.14 | $24.55 | $66.07 |
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 $13.80 Median $13.80 Typical High $15.14 | Professional | 52 · Reduced service | $13.80 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.17 |
Where Georgia sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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
$36.31
MN $74.13AL $28.18
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.