How much rates vary
Facilitymedian $257 · 10th to 90th $126 to $389Professionalmedian $166 · 10th to 90th $112 to $316
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 $128.82 Typical High $346.74 | Professional | None (both parts) | $120.23 | $128.82 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $66.07 | Professional | 26 · Professional part | $21.88 | $24.55 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $104.71 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $218.78 | Professional | None (both parts) | $144.54 | $208.93 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $36.31 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $36.31 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $257.04 Typical High $389.05 | Facility | None | $177.83 | $257.04 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $109.65 | $162.18 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $16.22 | $25.70 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $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 $186.21 Typical High $389.05 | Professional | None (both parts) | $125.89 | $186.21 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $72.44 | Professional | 26 · Professional part | $19.95 | $28.84 | $72.44 |
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 $141.25 Median $158.49 Typical High $281.84 | Professional | None | $141.25 | $158.49 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $30.20 | $57.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $128.82 | $257.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $26.92 | $125.89 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $131.83 | $199.53 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.18 Typical High $69.18 | Professional | 26 · Professional part | $16.98 | $28.18 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $104.71 | $169.82 | $309.03 |
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 $64.57 | Professional | 52 · Reduced service | $60.26 | $60.26 | $64.57 |
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 3.2 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· 18th of 51
$166
AK $302UT $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.