How much rates vary
Facilitymedian $240 · 10th to 90th $141 to $457Professionalmedian $269 · 10th to 90th $170 to $501
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 $177.83 Median $177.83 Typical High $302.00 | Facility | None | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $177.83 | $194.98 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $190.55 | Professional | 26 · Professional part | $64.57 | $75.86 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $316.23 | Professional | TC · Technical part | $114.82 | $120.23 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $97.72 | $125.89 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $457.09 | Facility | None | $141.25 | $245.47 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $138.04 | $275.42 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $64.57 | $109.65 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $158.49 Typical High $302.00 | Professional | TC · Technical part | $89.13 | $158.49 | $302.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $66.07 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $66.07 | $112.20 | $208.93 |
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 $208.93 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $208.93 | $316.23 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $79.43 | $120.23 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $398.11 | Professional | TC · Technical part | $128.82 | $199.53 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $380.19 | Professional | None | $208.93 | $245.47 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $91.20 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $380.19 | Professional | TC · Technical part | $131.83 | $154.88 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $114.82 | $223.87 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $173.78 | $269.15 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $72.44 | $107.15 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $371.54 | Professional | TC · Technical part | $102.33 | $169.82 | $371.54 |
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 $89.13 Median $89.13 Typical High $107.15 | Professional | 52 · Reduced service | $89.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 53 · Discontinued | $35.48 | $35.48 | $42.66 |
Where Georgia sits
The same service costs 3.9 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· 17th of 51
$269
AK $468UT $120
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.