How much rates vary
Facilitymedian $166 · 10th to 90th $81 to $1,995Professionalmedian $398 · 10th to 90th $95 to $603
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 $190.55 Median $190.55 Typical High $295.12 | Facility | None | $190.55 | $190.55 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $501.19 | Professional | None (both parts) | $190.55 | $199.53 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $75.86 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $323.59 | Professional | TC · Technical part | $123.03 | $125.89 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $165.96 Typical High $181.97 | Professional | 26 · Professional part | $93.33 | $165.96 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $407.38 Typical High $602.56 | Professional | None (both parts) | $93.33 | $407.38 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $141.25 Typical High $208.93 | Professional | 26 · Professional part | $75.86 | $141.25 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $288.40 Typical High $407.38 | Professional | TC · Technical part | $144.54 | $288.40 | $407.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $89.13 | $151.36 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $7,244.36 Typical High $7,244.36 | Facility | None | $6,456.54 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $257.04 | $398.11 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $251.19 | Professional | 26 · Professional part | $89.13 | $134.90 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $165.96 | $257.04 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $645.65 | Professional | None | $338.84 | $371.54 | $645.65 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $173.78 | $363.08 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $77.62 | $134.90 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $81.28 | $234.42 | $436.52 |
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 $95.50 Median $100.00 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $39.81 | $46.77 |
Where Georgia sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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
$380
WI $776OR $182
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.