How much rates vary
Facilitymedian $759 · 10th to 90th $501 to $16,982Professionalmedian $347 · 10th to 90th $158 to $617
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 $208.93 Median $7,244.36 Typical High $22,387.21 | Facility | None | $208.93 | $7,244.36 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $549.54 | Professional | None (both parts) | $208.93 | $223.87 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $162.18 Typical High $186.21 | Professional | 26 · Professional part | $147.91 | $162.18 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | TC · Technical part | $58.88 | $58.88 | $69.18 |
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 $346.74 Typical High $524.81 | Professional | None (both parts) | $158.49 | $346.74 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $245.47 Typical High $354.81 | Professional | 26 · Professional part | $154.88 | $245.47 | $354.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $128.82 | $204.17 |
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 $263.03 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $263.03 | $416.87 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $302.00 Typical High $524.81 | Professional | 26 · Professional part | $190.55 | $302.00 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $72.44 | $109.65 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $17,782.79 | Professional | None | $281.84 | $346.74 | $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 $245.47 Median $363.08 Typical High $794.33 | Professional | None (both parts) | $245.47 | $363.08 | $794.33 |
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 $74.13 Median $107.15 Typical High $257.04 | Professional | TC · Technical part | $74.13 | $107.15 | $257.04 |
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 $104.71 Median $109.65 Typical High $128.82 | Professional | 52 · Reduced service | $104.71 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $43.65 | $51.29 |
Where Georgia sits
The same service costs 5.8 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· 18th of 51
$427
LA $1,288AL $224
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.