How much rates vary
Facilitymedian $501 · 10th to 90th $85 to $19,498Professionalmedian $263 · 10th to 90th $66 to $479
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 $154.88 Median $7,079.46 Typical High $22,387.21 | Facility | None | $154.88 | $7,079.46 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $1,230.27 | Professional | None (both parts) | $154.88 | $162.18 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $123.03 Typical High $354.81 | Professional | 26 · Professional part | $83.18 | $123.03 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $39.81 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $100.00 | $154.88 |
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 $52.48 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $52.48 | $263.03 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $218.78 Typical High $323.59 | Professional | 26 · Professional part | $64.57 | $218.78 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $44.67 | $91.20 | $107.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.42 Median $66.07 Typical High $93.33 | Professional | None (both parts) | $20.42 | $66.07 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $169.82 | $295.12 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $213.80 Typical High $302.00 | Professional | 26 · Professional part | $128.82 | $213.80 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $72.44 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $17,782.79 | Professional | None | $89.13 | $112.20 | $17,782.79 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $17,782.79 | Professional | 26 · Professional part | $64.57 | $70.79 | $17,782.79 |
United Setting Facility Modifier None Typical Low $81.28 Median $158.49 Typical High $2,818.38 | Facility | None | $81.28 | $158.49 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $251.19 | $426.58 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $204.17 Typical High $316.23 | Professional | 26 · Professional part | $120.23 | $204.17 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $97.72 | $223.87 | $371.54 |
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 $77.62 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $77.62 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $31.62 | $31.62 | $34.67 |
Where Georgia sits
The same service costs 4.8 times more in Nebraska than in South Carolina. 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· 30th of 51
$263
NE $724SC $151
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.