How much rates vary
Facilitymedian $759 · 10th to 90th $501 to $17,783Professionalmedian $282 · 10th to 90th $112 to $537
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 $181.97 Median $7,585.78 Typical High $22,387.21 | Facility | None | $181.97 | $7,585.78 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $5,370.32 | Professional | None (both parts) | $181.97 | $194.98 | $5,370.32 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $134.90 | Professional | 26 · Professional part | $109.65 | $117.49 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $74.13 Typical High $89.13 | Professional | TC · Technical part | $72.44 | $74.13 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $11,748.98 Typical High $22,908.68 | Facility | None | $6,918.31 | $11,748.98 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $112.20 | $281.84 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $177.83 Typical High $251.19 | Professional | 26 · Professional part | $112.20 | $177.83 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $81.28 | $154.88 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $1,995.26 | Facility | None | $398.11 | $549.54 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $229.09 | $363.08 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $218.78 Typical High $371.54 | Professional | 26 · Professional part | $138.04 | $218.78 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $263.03 | Professional | TC · Technical part | $91.20 | $138.04 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $17,782.79 | Professional | None | $239.88 | $302.00 | $17,782.79 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $151.36 Typical High $17,782.79 | Professional | 26 · Professional part | $141.25 | $151.36 | $17,782.79 |
United Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $5,495.41 | Facility | None | $501.19 | $724.44 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $660.69 | Professional | None (both parts) | $208.93 | $316.23 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $186.21 Typical High $371.54 | Professional | 26 · Professional part | $123.03 | $186.21 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $302.00 | Professional | TC · Technical part | $89.13 | $131.83 | $302.00 |
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 $91.20 Median $95.50 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $38.90 | $43.65 |
Where Georgia sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 20th of 51
$380
OK $4,786HI $158
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.