How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,698 to $17,783Professionalmedian $1,349 · 10th to 90th $603 to $2,344
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 $758.58 Median $7,585.78 Typical High $22,387.21 | Facility | None | $758.58 | $7,585.78 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $831.76 Typical High $2,570.40 | Professional | None (both parts) | $758.58 | $831.76 | $2,570.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $630.96 Typical High $1,584.89 | Professional | 26 · Professional part | $575.44 | $630.96 | $1,584.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $194.98 Typical High $234.42 | Professional | TC · Technical part | $190.55 | $194.98 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $1,047.13 Median $1,148.15 Typical High $1,412.54 | Professional | 26 · Professional part | $1,047.13 | $1,148.15 | $1,412.54 |
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 $602.56 Median $1,348.96 Typical High $1,949.84 | Professional | None (both parts) | $602.56 | $1,348.96 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $954.99 Typical High $1,380.38 | Professional | 26 · Professional part | $602.56 | $954.99 | $1,380.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $426.58 | $676.08 |
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 $977.24 Median $1,548.82 Typical High $2,818.38 | Professional | None (both parts) | $977.24 | $1,548.82 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $724.44 Median $1,174.90 Typical High $2,089.30 | Professional | 26 · Professional part | $724.44 | $1,174.90 | $2,089.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $707.95 | Professional | TC · Technical part | $239.88 | $363.08 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $17,782.79 | Professional | None | $1,023.29 | $1,288.25 | $17,782.79 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $812.83 Typical High $17,782.79 | Professional | 26 · Professional part | $741.31 | $812.83 | $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 $1,000.00 Median $1,479.11 Typical High $3,235.94 | Professional | None (both parts) | $1,000.00 | $1,479.11 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $954.99 Typical High $1,995.26 | Professional | 26 · Professional part | $660.69 | $954.99 | $1,995.26 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $501.19 Typical High $1,318.26 | Professional | TC · Technical part | $338.84 | $501.19 | $1,318.26 |
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 $380.19 Median $407.38 Typical High $467.74 | Professional | 52 · Reduced service | $380.19 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $165.96 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $165.96 | $190.55 |
Where Georgia sits
The same service costs 5.2 times more in Louisiana 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· 24th of 51
$1,622
LA $4,677NY $891
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.