How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $263.03 Median $263.03 Typical High $295.12 | Facility | None | $263.03 | $263.03 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $691.83 | Professional | None (both parts) | $263.03 | $263.03 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $467.74 | Professional | 26 · Professional part | $223.87 | $223.87 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $39.81 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $251.19 | $380.19 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $257.04 Typical High $537.03 | Professional | 26 · Professional part | $208.93 | $257.04 | $537.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $52.48 Typical High $151.36 | Professional | TC · Technical part | $35.48 | $52.48 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $316.23 | $363.08 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $323.59 Typical High $660.69 | Professional | 26 · Professional part | $275.42 | $323.59 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $138.04 | Professional | TC · Technical part | $37.15 | $58.88 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $933.25 | Professional | None | $281.84 | $363.08 | $933.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $302.00 Typical High $588.84 | Professional | 26 · Professional part | $234.42 | $302.00 | $588.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $933.25 | Professional | TC · Technical part | $46.77 | $61.66 | $933.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $51.29 | $288.40 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $380.19 Typical High $794.33 | Professional | None (both parts) | $239.88 | $380.19 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $331.13 Typical High $616.60 | Professional | 26 · Professional part | $213.80 | $331.13 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $53.70 Typical High $144.54 | Professional | TC · Technical part | $30.90 | $53.70 | $144.54 |
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 $131.83 Median $131.83 Typical High $151.36 | Professional | 52 · Reduced service | $131.83 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 53 · Discontinued | $52.48 | $52.48 | $60.26 |
Where Georgia sits
The same service costs 3.3 times more in Minnesota 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· 25th of 51
$372
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.