How much rates vary
Facilitymedian $186 · 10th to 90th $93 to $2,089Professionalmedian $148 · 10th to 90th $95 to $251
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 $93.33 Median $93.33 Typical High $181.97 | Facility | None | $93.33 | $93.33 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $263.03 | Professional | None (both parts) | $93.33 | $109.65 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $69.18 | Professional | 26 · Professional part | $22.91 | $27.54 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $194.98 | Professional | TC · Technical part | $70.79 | $81.28 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $79.43 | $177.83 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $45.71 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $288.40 | Facility | None | $95.50 | $154.88 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $97.72 | $151.36 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $40.74 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $109.65 | $181.97 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.44 Median $70.79 Typical High $109.65 | Professional | None (both parts) | $23.44 | $70.79 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $109.65 | $165.96 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $28.84 | $43.65 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $120.23 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $229.09 | Professional | None | $117.49 | $134.90 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $33.88 | $87.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $229.09 | Professional | TC · Technical part | $89.13 | $102.33 | $229.09 |
Oscar Health Setting Facility Modifier None Typical Low $1,023.29 Median $2,570.40 Typical High $2,818.38 | Facility | None | $1,023.29 | $2,570.40 | $2,818.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $40.74 | $141.25 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $100.00 | $151.36 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $75.86 | Professional | 26 · Professional part | $25.70 | $38.02 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $229.09 | Professional | TC · Technical part | $74.13 | $112.20 | $229.09 |
3 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 $46.77 Median $46.77 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $18.62 | $22.91 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | GC · Resident with teaching physician | $79.43 | $79.43 | $79.43 |
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· 18th of 51
$148
MN $275UT $72.44
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.