How much rates vary
Facilitymedian $339 · 10th to 90th $174 to $525Professionalmedian $214 · 10th to 90th $141 to $398
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 $151.36 Median $151.36 Typical High $165.96 | Facility | None | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $436.52 | Professional | None (both parts) | $151.36 | $162.18 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $66.07 | Professional | 26 · Professional part | $21.88 | $25.70 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $371.54 | Professional | TC · Technical part | $128.82 | $134.90 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $128.82 | $208.93 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $46.77 | Professional | 26 · Professional part | $35.48 | $44.67 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $346.74 Typical High $524.81 | Facility | None | $190.55 | $346.74 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $125.89 | $208.93 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $30.90 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $107.15 | $177.83 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $338.84 Typical High $407.38 | Facility | None | $275.42 | $338.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $245.47 Typical High $501.19 | Professional | None (both parts) | $162.18 | $245.47 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $74.13 | Professional | 26 · Professional part | $25.12 | $34.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $223.87 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $363.08 | Professional | None | $186.21 | $218.78 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $85.11 | Professional | 26 · Professional part | $28.18 | $33.11 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $323.59 | Professional | TC · Technical part | $158.49 | $186.21 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $28.84 | $169.82 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $162.18 | $263.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $35.48 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $141.25 | $223.87 | $416.87 |
3 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 $75.86 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $30.20 | $30.20 | $33.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 59 · Distinct service | $323.59 | $323.59 | $323.59 |
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· 23rd of 51
$214
AK $417UT $126
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.