How much rates vary
Facilitymedian $891 · 10th to 90th $513 to $19,055Professionalmedian $85 · 10th to 90th $35 to $138
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 $43.65 Median $7,244.36 Typical High $22,387.21 | Facility | None | $43.65 | $7,244.36 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $125.89 | Professional | None (both parts) | $43.65 | $46.77 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $38.02 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $9.33 Typical High $23.99 | Professional | TC · Technical part | $9.12 | $9.33 | $23.99 |
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 $35.48 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $35.48 | $93.33 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $37.15 | $64.57 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $11.75 | $20.42 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $8,511.38 Median $12,302.69 Typical High $16,595.87 | Facility | None | $8,511.38 | $12,302.69 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $54.95 | $89.13 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $69.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $17.78 Typical High $33.11 | Professional | TC · Technical part | $11.48 | $17.78 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $17,782.79 | Professional | None | $57.54 | $72.44 | $17,782.79 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $17,782.79 | Professional | 26 · Professional part | $43.65 | $46.77 | $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 $54.95 Median $87.10 Typical High $186.21 | Professional | None (both parts) | $54.95 | $87.10 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $39.81 | $67.61 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $21.38 Typical High $104.71 | Professional | TC · Technical part | $15.14 | $21.38 | $104.71 |
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 $21.88 Median $23.44 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.33 Typical High $10.72 | Professional | 53 · Discontinued | $8.71 | $9.33 | $10.72 |
Where Georgia sits
The same service costs 51.3 times more in Oklahoma than in New York. 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
$97.72
OK $2,570NY $50.12
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.