How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,660 to $17,783Professionalmedian $977 · 10th to 90th $372 to $1,862
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 $630.96 Median $7,585.78 Typical High $22,387.21 | Facility | None | $630.96 | $7,585.78 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $676.08 Typical High $1,659.59 | Professional | None (both parts) | $630.96 | $676.08 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $398.11 Typical High $954.99 | Professional | 26 · Professional part | $354.81 | $398.11 | $954.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $275.42 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $275.42 | $707.95 |
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 $371.54 Median $977.24 Typical High $1,584.89 | Professional | None (both parts) | $371.54 | $977.24 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $602.56 Typical High $870.96 | Professional | 26 · Professional part | $371.54 | $602.56 | $870.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $575.44 Typical High $812.83 | Professional | TC · Technical part | $275.42 | $575.44 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $5,128.61 Typical High $10,715.19 | Facility | None | $4,168.69 | $5,128.61 | $10,715.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,258.93 Typical High $2,344.23 | Professional | None (both parts) | $794.33 | $1,258.93 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $724.44 Typical High $1,318.26 | Professional | 26 · Professional part | $457.09 | $724.44 | $1,318.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $512.86 Typical High $1,000.00 | Professional | TC · Technical part | $338.84 | $512.86 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $17,782.79 | Professional | None | $851.14 | $1,047.13 | $17,782.79 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $501.19 Typical High $17,782.79 | Professional | 26 · Professional part | $467.74 | $501.19 | $17,782.79 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $15,848.93 | Facility | None | $1,513.56 | $3,715.35 | $15,848.93 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,148.15 Typical High $2,398.83 | Professional | None (both parts) | $758.58 | $1,148.15 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $630.96 Typical High $1,230.27 | Professional | 26 · Professional part | $407.38 | $630.96 | $1,230.27 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $512.86 Typical High $1,202.26 | Professional | TC · Technical part | $354.81 | $512.86 | $1,202.26 |
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 $316.23 Median $331.13 Typical High $380.19 | Professional | 52 · Reduced service | $316.23 | $331.13 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $154.88 | Professional | 53 · Discontinued | $125.89 | $131.83 | $154.88 |
Where Georgia sits
The same service costs 7.1 times more in Texas 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
$1,349
TX $3,981HI $562
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.