How much rates vary
Facilitymedian $58 · 10th to 90th $24 to $69Professionalmedian $45 · 10th to 90th $19 to $83
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 $24.55 Median $24.55 Typical High $66.07 | Facility | None | $24.55 | $24.55 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.92 Typical High $70.79 | Professional | None (both parts) | $24.55 | $26.92 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $19.95 | Professional | 26 · Professional part | $6.61 | $7.76 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $53.70 | Professional | TC · Technical part | $18.20 | $19.50 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $44.67 | $48.98 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $13.80 Typical High $16.22 | Professional | 26 · Professional part | $6.17 | $13.80 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $58.88 Typical High $69.18 | Facility | None | $23.99 | $58.88 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.05 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $19.05 | $47.86 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.75 Typical High $19.95 | Professional | 26 · Professional part | $7.41 | $11.75 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $19.95 | $31.62 | $63.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.76 Median $16.98 Typical High $28.18 | Professional | None (both parts) | $6.76 | $16.98 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $93.33 | Professional | None (both parts) | $30.20 | $48.98 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $26.30 | Professional | 26 · Professional part | $8.32 | $12.59 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $21.88 | $36.31 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $120.23 | Professional | None | $29.51 | $33.88 | $120.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $36.31 | Professional | 26 · Professional part | $8.51 | $10.00 | $36.31 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $120.23 | Professional | TC · Technical part | $20.89 | $23.99 | $120.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.75 Median $33.88 Typical High $47.86 | Professional | None (both parts) | $11.75 | $33.88 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $26.92 | $51.29 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $7.59 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $37.15 Typical High $64.57 | Professional | TC · Technical part | $19.50 | $37.15 | $64.57 |
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 $12.30 Median $12.30 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $12.30 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.75 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.75 |
Where Georgia sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 14th of 51
$45.71
MN $69.18MD $25.70
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.