How much rates vary
Facilitymedian $251 · 10th to 90th $126 to $389Professionalmedian $166 · 10th to 90th $112 to $309
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 $120.23 Median $120.23 Typical High $128.82 | Facility | None | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $346.74 | Professional | None (both parts) | $120.23 | $123.03 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $67.61 | Professional | 26 · Professional part | $22.39 | $25.12 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $102.33 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $154.88 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $251.19 Typical High $389.05 | Facility | None | $186.21 | $251.19 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $107.15 | $165.96 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $19.95 | $26.30 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $87.10 | $131.83 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $316.23 | Facility | None | $204.17 | $269.15 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $125.89 | $190.55 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $31.62 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $162.18 Typical High $316.23 | Professional | TC · Technical part | $100.00 | $162.18 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $295.12 | Professional | None | $144.54 | $162.18 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $30.90 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $131.83 | $263.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $28.18 | $128.82 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $128.82 | $199.53 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $21.88 | $34.67 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $104.71 | $169.82 | $302.00 |
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 $60.26 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.30 |
Where Georgia sits
The same service costs 3.3 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· 22nd of 51
$166
AK $316UT $95.50
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.