How much rates vary
Facilitymedian $490 · 10th to 90th $275 to $871Professionalmedian $331 · 10th to 90th $229 to $646
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 $257.04 Median $257.04 Typical High $275.42 | Facility | None | $257.04 | $257.04 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $676.08 | Professional | None (both parts) | $257.04 | $263.03 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $46.77 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $218.78 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $186.21 | $186.21 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $89.13 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $870.96 | Facility | None | $363.08 | $489.78 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $213.80 | $331.13 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $56.23 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $263.03 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $575.44 Typical High $691.83 | Facility | None | $316.23 | $575.44 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $831.76 | Professional | None (both parts) | $263.03 | $363.08 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $47.86 | $64.57 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $295.12 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $295.12 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $562.34 | Professional | None | $302.00 | $354.81 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $61.66 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $251.19 | $295.12 | $524.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $275.42 Typical High $537.03 | Professional | None (both parts) | $52.48 | $275.42 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $275.42 | $398.11 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $67.61 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $616.60 | Professional | TC · Technical part | $229.09 | $338.84 | $616.60 |
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 $128.82 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 53 · Discontinued | $51.29 | $51.29 | $56.23 |
Where Georgia sits
The same service costs 3.0 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
$339
AK $646UT $214
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.