How much rates vary
Facilitymedian $759 · 10th to 90th $501 to $16,982Professionalmedian $347 · 10th to 90th $158 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 $199.53 Median $7,244.36 Typical High $22,387.21 | Facility | None | $199.53 | $7,244.36 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $218.78 Typical High $489.78 | Professional | None (both parts) | $199.53 | $218.78 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $162.18 Typical High $186.21 | Professional | 26 · Professional part | $151.36 | $162.18 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $50.12 | $51.29 | $60.26 |
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 $158.49 Median $363.08 Typical High $512.86 | Professional | None (both parts) | $158.49 | $363.08 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $251.19 Typical High $346.74 | Professional | 26 · Professional part | $154.88 | $251.19 | $346.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $54.95 | $107.15 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $10,715.19 | Facility | None | $426.58 | $549.54 | $10,715.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $741.31 | Professional | None (both parts) | $257.04 | $407.38 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $302.00 Typical High $537.03 | Professional | 26 · Professional part | $190.55 | $302.00 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $63.10 | $95.50 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $17,782.79 | Professional | None | $269.15 | $338.84 | $17,782.79 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $208.93 Typical High $17,782.79 | Professional | 26 · Professional part | $194.98 | $208.93 | $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 $229.09 Median $346.74 Typical High $776.25 | Professional | None (both parts) | $229.09 | $346.74 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $263.03 Typical High $512.86 | Professional | 26 · Professional part | $169.82 | $263.03 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $223.87 | Professional | TC · Technical part | $63.10 | $91.20 | $223.87 |
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 $100.00 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $100.00 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $48.98 | Professional | 53 · Discontinued | $39.81 | $42.66 | $48.98 |
Where Georgia sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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· 15th of 51
$427
LA $1,288AL $219
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.