How much rates vary
Facilitymedian $78 · 10th to 90th $23 to $5,495Professionalmedian $49 · 10th to 90th $23 to $135
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 $22.91 Median $22.91 Typical High $213.80 | Facility | None | $22.91 | $22.91 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $72.44 | Professional | None (both parts) | $22.91 | $26.92 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $3.39 Typical High $8.51 | Professional | 26 · Professional part | $2.88 | $3.39 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $60.26 | Professional | TC · Technical part | $20.42 | $23.44 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $20.42 | $40.74 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $4.17 Typical High $6.46 | Professional | 26 · Professional part | $2.75 | $4.17 | $6.46 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | TC · Technical part | $18.62 | $18.62 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $77.62 Typical High $147.91 | Facility | None | $23.99 | $77.62 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $51.29 Typical High $158.49 | Professional | None (both parts) | $26.30 | $51.29 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $5.25 Typical High $10.00 | Professional | 26 · Professional part | $3.16 | $5.25 | $10.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $36.31 Typical High $112.20 | Professional | TC · Technical part | $21.38 | $36.31 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2.88 Median $19.05 Typical High $26.92 | Professional | None (both parts) | $2.88 | $19.05 | $26.92 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $46.77 Typical High $104.71 | Professional | None (both parts) | $28.18 | $46.77 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $5.62 Typical High $10.23 | Professional | 26 · Professional part | $3.55 | $5.62 | $10.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $40.74 Typical High $85.11 | Professional | TC · Technical part | $24.55 | $40.74 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $269.15 | Professional | None | $27.54 | $31.62 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $4.47 Typical High $9.77 | Professional | 26 · Professional part | $3.89 | $4.47 | $9.77 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $269.15 | Professional | TC · Technical part | $23.44 | $26.92 | $269.15 |
Oscar Health Setting Facility Modifier None Typical Low $1,737.80 Median $6,456.54 Typical High $7,413.10 | Facility | None | $1,737.80 | $6,456.54 | $7,413.10 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $5.01 Median $38.02 Typical High $43.65 | Professional | None (both parts) | $5.01 | $38.02 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $53.70 Typical High $131.83 | Professional | None (both parts) | $25.12 | $53.70 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $5.37 Typical High $9.55 | Professional | 26 · Professional part | $3.24 | $5.37 | $9.55 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $44.67 Typical High $128.82 | Professional | TC · Technical part | $21.88 | $44.67 | $128.82 |
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 $11.48 Median $11.48 Typical High $13.49 | Professional | 52 · Reduced service | $11.48 | $11.48 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $5.37 | Professional | 53 · Discontinued | $4.68 | $4.68 | $5.37 |
Where Georgia sits
The same service costs 2.9 times more in Kansas 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· 11th of 51
$48.98
KS $74.13MD $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.