How much rates vary
Facilitymedian $219 · 10th to 90th $120 to $468Professionalmedian $204 · 10th to 90th $141 to $372
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 $151.36 Median $151.36 Typical High $162.18 | Facility | None | $151.36 | $151.36 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $151.36 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $37.15 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $117.49 | $117.49 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $61.66 | $81.28 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $467.74 | Facility | None | $120.23 | $223.87 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $120.23 | $213.80 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $57.54 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $151.36 | $257.04 |
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 $154.88 Median $239.88 Typical High $501.19 | Professional | None (both parts) | $154.88 | $239.88 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $41.69 | $61.66 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $181.97 Typical High $407.38 | Professional | TC · Technical part | $109.65 | $181.97 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $309.03 | Professional | None | $169.82 | $204.17 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $120.23 | Professional | 26 · Professional part | $40.74 | $47.86 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $302.00 | Professional | TC · Technical part | $131.83 | $158.49 | $302.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $58.88 | $223.87 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $489.78 | Professional | None (both parts) | $138.04 | $199.53 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $109.65 | Professional | 26 · Professional part | $37.15 | $52.48 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $371.54 | Professional | TC · Technical part | $100.00 | $151.36 | $371.54 |
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 $75.86 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $30.20 | $30.20 | $34.67 |
Where Georgia sits
The same service costs 3.0 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· 22nd of 51
$204
AK $380UT $129
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.