How much rates vary
Facilitymedian $339 · 10th to 90th $240 to $537Professionalmedian $331 · 10th to 90th $219 to $661
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 $218.78 Median $218.78 Typical High $239.88 | Facility | None | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $575.44 | Professional | None (both parts) | $218.78 | $229.09 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $91.20 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $363.08 | Professional | TC · Technical part | $138.04 | $138.04 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $112.20 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $346.74 Typical High $537.03 | Facility | None | $251.19 | $346.74 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $190.55 | $338.84 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $204.17 | Professional | 26 · Professional part | $77.62 | $125.89 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $501.19 | Professional | TC · Technical part | $131.83 | $223.87 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $269.15 | $398.11 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $134.90 Typical High $295.12 | Professional | 26 · Professional part | $83.18 | $134.90 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $269.15 Typical High $467.74 | Professional | TC · Technical part | $162.18 | $269.15 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $489.78 | Professional | None | $269.15 | $309.03 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $173.78 | Professional | 26 · Professional part | $100.00 | $117.49 | $173.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $190.55 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $147.91 | $263.03 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $707.95 | Professional | None (both parts) | $234.42 | $346.74 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $112.20 Typical High $275.42 | Professional | 26 · Professional part | $69.18 | $112.20 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $147.91 | $239.88 | $436.52 |
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 $109.65 Median $109.65 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $43.65 | $53.70 |
Where Georgia sits
The same service costs 4.7 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· 20th of 51
$331
AK $589UT $126
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.