How much rates vary
Facilitymedian $282 · 10th to 90th $132 to $468Professionalmedian $186 · 10th to 90th $117 to $339
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 $131.83 | Facility | None | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $363.08 | Professional | None (both parts) | $120.23 | $141.25 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $66.07 | Professional | 26 · Professional part | $21.38 | $25.12 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $295.12 | Professional | TC · Technical part | $100.00 | $117.49 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $107.15 | $190.55 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $19.05 | $33.11 | $43.65 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $186.21 | $229.09 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $467.74 | Facility | None | $151.36 | $295.12 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $117.49 | $186.21 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $19.95 | $25.70 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $158.49 | $251.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.88 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $21.88 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $316.23 Typical High $363.08 | Facility | None | $251.19 | $316.23 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $147.91 | $218.78 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $72.44 | Professional | 26 · Professional part | $22.91 | $30.90 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $120.23 | $194.98 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $354.81 | Professional | None | $162.18 | $186.21 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $29.51 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $316.23 | Professional | TC · Technical part | $134.90 | $154.88 | $316.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $26.92 | $144.54 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $147.91 | $229.09 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $67.61 | Professional | 26 · Professional part | $21.88 | $33.11 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $125.89 | $199.53 | $363.08 |
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 $69.18 | Professional | 52 · Reduced service | $60.26 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $23.99 | $27.54 |
Where Georgia sits
The same service costs 3.7 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
$191
AK $355UT $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.