How much rates vary
Facilitymedian $166 · 10th to 90th $166 to $407Professionalmedian $295 · 10th to 90th $85 to $575
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $165.96 Median $165.96 Typical High $181.97 | Facility | None | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $165.96 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $107.15 | Professional | 26 · Professional part | $83.18 | $87.10 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $83.18 | $83.18 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $239.88 Typical High $549.54 | Facility | None | $104.71 | $239.88 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $85.11 | $295.12 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $141.25 Typical High $229.09 | Professional | 26 · Professional part | $83.18 | $141.25 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $186.21 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $870.96 | Professional | None (both parts) | $208.93 | $316.23 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $295.12 | Professional | 26 · Professional part | $104.71 | $154.88 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $154.88 Typical High $436.52 | Professional | TC · Technical part | $104.71 | $154.88 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $524.81 | Professional | None | $213.80 | $275.42 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $204.17 | Professional | 26 · Professional part | $100.00 | $117.49 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $524.81 | Professional | TC · Technical part | $104.71 | $138.04 | $524.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $616.60 Typical High $794.33 | Professional | None (both parts) | $147.91 | $616.60 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $954.99 | Professional | None (both parts) | $257.04 | $371.54 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $269.15 | Professional | 26 · Professional part | $93.33 | $134.90 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $676.08 | Professional | TC · Technical part | $158.49 | $245.47 | $676.08 |
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 $83.18 Median $83.18 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $33.11 | $40.74 |
Where Georgia sits
The same service costs 3.1 times more in Alaska than in New York. 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
$295
AK $537NY $174
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.