How much rates vary
Facilitymedian $302 · 10th to 90th $191 to $525Professionalmedian $214 · 10th to 90th $126 to $372
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 $123.03 Median $123.03 Typical High $128.82 | Facility | None | $123.03 | $123.03 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $123.03 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $37.15 | Professional | 26 · Professional part | $23.44 | $25.70 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | TC · Technical part | $97.72 | $97.72 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $302.00 Typical High $524.81 | Facility | None | $229.09 | $302.00 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $128.82 | $213.80 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $36.31 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $147.91 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $407.38 | Facility | None | $257.04 | $338.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $154.88 | $234.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $89.13 | Professional | 26 · Professional part | $26.30 | $39.81 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $194.98 Typical High $426.58 | Professional | TC · Technical part | $125.89 | $194.98 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $363.08 | Professional | None | $199.53 | $223.87 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $47.86 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $177.83 | $309.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $40.74 | $173.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $158.49 | $245.47 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $26.92 | $41.69 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $213.80 Typical High $371.54 | Professional | TC · Technical part | $134.90 | $213.80 | $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 $61.66 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $24.55 | $24.55 | $27.54 |
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· 17th of 51
$214
AK $407UT $117
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.