How much rates vary
Facilitymedian $724 · 10th to 90th $257 to $1,905Professionalmedian $617 · 10th to 90th $347 to $1,202
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 $467.74 Median $467.74 Typical High $489.78 | Facility | None | $467.74 | $467.74 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $467.74 | $467.74 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $173.78 | Professional | 26 · Professional part | $117.49 | $128.82 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $562.34 | Professional | TC · Technical part | $436.52 | $436.52 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $288.40 | $288.40 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $933.25 Typical High $1,905.46 | Facility | None | $257.04 | $933.25 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $630.96 Typical High $1,202.26 | Professional | None (both parts) | $389.05 | $630.96 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $204.17 Typical High $354.81 | Professional | 26 · Professional part | $117.49 | $204.17 | $354.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $562.34 Typical High $954.99 | Professional | TC · Technical part | $263.03 | $562.34 | $954.99 |
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 $288.40 Median $436.52 Typical High $1,023.29 | Professional | None (both parts) | $288.40 | $436.52 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $218.78 Typical High $416.87 | Professional | 26 · Professional part | $144.54 | $218.78 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $707.95 | Professional | TC · Technical part | $144.54 | $218.78 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $691.83 | Professional | None | $309.03 | $398.11 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $338.84 | Professional | 26 · Professional part | $144.54 | $169.82 | $338.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $660.69 | Professional | TC · Technical part | $151.36 | $199.53 | $660.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $891.25 Typical High $1,122.02 | Professional | None (both parts) | $208.93 | $891.25 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $616.60 Typical High $1,905.46 | Professional | None (both parts) | $363.08 | $616.60 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $204.17 Typical High $389.05 | Professional | 26 · Professional part | $131.83 | $204.17 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $478.63 Typical High $1,513.56 | Professional | TC · Technical part | $204.17 | $478.63 | $1,513.56 |
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 $234.42 Median $234.42 Typical High $263.03 | Professional | 52 · Reduced service | $234.42 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $93.33 | $104.71 |
Where Georgia sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 15th of 51
$617
AK $1,000WA $324
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.