How much rates vary
Facilitymedian $302 · 10th to 90th $200 to $617Professionalmedian $316 · 10th to 90th $204 to $525
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 $213.80 Median $213.80 Typical High $371.54 | Facility | None | $213.80 | $213.80 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $213.80 | $223.87 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $63.10 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $158.49 | $158.49 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $190.55 | $204.17 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $112.20 | $141.25 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $302.00 Typical High $616.60 | Facility | None | $199.53 | $302.00 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $501.19 | Professional | None (both parts) | $204.17 | $331.13 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $100.00 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $229.09 Typical High $363.08 | Professional | TC · Technical part | $144.54 | $229.09 | $363.08 |
CareSource Setting Professional Modifier None (both parts) Typical Low $58.88 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $58.88 | $151.36 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $245.47 | $380.19 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $204.17 | Professional | 26 · Professional part | $72.44 | $107.15 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $173.78 | $257.04 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $549.54 | Professional | None | $257.04 | $288.40 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $194.98 | Professional | 26 · Professional part | $69.18 | $81.28 | $194.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $549.54 | Professional | TC · Technical part | $186.21 | $213.80 | $549.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $102.33 | $302.00 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $691.83 | Professional | None (both parts) | $218.78 | $323.59 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $91.20 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $501.19 | Professional | TC · Technical part | $158.49 | $234.42 | $501.19 |
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 $107.15 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $43.65 | $48.98 |
Where Georgia sits
The same service costs 3.5 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· 19th of 51
$316
AK $562UT $158
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.