How much rates vary
Facilitymedian $372 · 10th to 90th $186 to $1,288Professionalmedian $245 · 10th to 90th $170 to $457
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 $181.97 Median $186.21 Typical High $281.84 | Facility | None | $181.97 | $186.21 | $281.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $51.29 | Facility | 26 · Professional part | $30.90 | $33.88 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $229.09 | Facility | TC · Technical part | $151.36 | $158.49 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $524.81 | Professional | None (both parts) | $181.97 | $213.80 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $37.15 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $426.58 | Professional | TC · Technical part | $151.36 | $173.78 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $141.25 | $165.96 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $26.92 | $45.71 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $602.56 | Facility | None | $194.98 | $371.54 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $177.83 | $239.88 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $41.69 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $204.17 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $30.90 | $147.91 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $398.11 Typical High $457.09 | Facility | None | $309.03 | $398.11 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $190.55 | $295.12 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $102.33 | Professional | 26 · Professional part | $34.67 | $47.86 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $489.78 | Professional | TC · Technical part | $154.88 | $251.19 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $489.78 | Professional | None | $213.80 | $245.47 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $269.15 | Professional | 26 · Professional part | $37.15 | $44.67 | $269.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $489.78 | Professional | TC · Technical part | $177.83 | $199.53 | $489.78 |
Oscar Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $5,888.44 | Facility | None | $1,288.25 | $1,621.81 | $5,888.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $43.65 | $190.55 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $199.53 | $302.00 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $48.98 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $257.04 | $467.74 |
4 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 $91.20 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | 53 · Discontinued | $36.31 | $36.31 | $39.81 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 51 · Multiple procedures | $323.59 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $158.49 Median $354.81 Typical High $354.81 | Professional | 59 · Distinct service | $158.49 | $354.81 | $354.81 |
Where Georgia sits
The same service costs 3.5 times more in Minnesota 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· 21st of 51
$245
MN $550UT $158
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.