How much rates vary
Facilitymedian $2,818 · 10th to 90th $182 to $16,982Professionalmedian $245 · 10th to 90th $174 to $457
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 $181.97 Median $181.97 Typical High $204.17 | Facility | None | $181.97 | $181.97 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | None (both parts) | $181.97 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $131.83 | $131.83 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $52.48 | Professional | TC · Technical part | $48.98 | $48.98 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,882.50 Median $16,218.10 Typical High $19,054.61 | Facility | None | $12,882.50 | $16,218.10 | $19,054.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $173.78 | $257.04 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $302.00 | Professional | 26 · Professional part | $125.89 | $165.96 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $44.67 | $67.61 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $16,595.87 Typical High $16,595.87 | Facility | None | $12,882.50 | $16,595.87 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $223.87 | $316.23 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $218.78 Typical High $407.38 | Professional | 26 · Professional part | $165.96 | $218.78 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $177.83 | Professional | TC · Technical part | $57.54 | $79.43 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $1,659.59 | Professional | None | $190.55 | $251.19 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $1,047.13 | Professional | 26 · Professional part | $141.25 | $181.97 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $616.60 | Professional | TC · Technical part | $51.29 | $66.07 | $616.60 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $194.98 Typical High $380.19 | Professional | None (both parts) | $56.23 | $194.98 | $380.19 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,454.71 Typical High $16,982.44 | Facility | None | $691.83 | $2,454.71 | $16,982.44 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $173.78 | $309.03 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $208.93 Typical High $426.58 | Professional | 26 · Professional part | $128.82 | $208.93 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $44.67 | $87.10 | $162.18 |
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 $91.20 Median $91.20 Typical High $104.71 | Professional | 52 · Reduced service | $91.20 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | 53 · Discontinued | $36.31 | $36.31 | $41.69 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 31st of 51
$245
AK $468UT $132
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.