How much rates vary
Facilitymedian $251 · 10th to 90th $115 to $1,413Professionalmedian $158 · 10th to 90th $107 to $302
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 $114.82 Median $120.23 Typical High $177.83 | Facility | None | $114.82 | $120.23 | $177.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $33.11 | Facility | 26 · Professional part | $19.95 | $21.88 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $138.04 | Facility | TC · Technical part | $93.33 | $95.50 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $323.59 | Professional | None (both parts) | $114.82 | $138.04 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $60.26 | Professional | 26 · Professional part | $19.95 | $23.99 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $269.15 | Professional | TC · Technical part | $93.33 | $112.20 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $91.20 | $104.71 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $16.98 | $30.90 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $380.19 | Facility | None | $117.49 | $251.19 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $114.82 | $158.49 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $27.54 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $128.82 | $204.17 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.95 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $19.95 | $93.33 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $316.23 | Facility | None | $199.53 | $269.15 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $117.49 | $194.98 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $22.39 | $30.20 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $95.50 | $158.49 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $323.59 | Professional | None | $134.90 | $154.88 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $165.96 | Professional | 26 · Professional part | $23.99 | $28.18 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $323.59 | Professional | TC · Technical part | $112.20 | $125.89 | $323.59 |
Oscar Health Setting Facility Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $8,128.31 | Facility | None | $1,412.54 | $2,398.83 | $8,128.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $28.18 | $120.23 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $123.03 | $199.53 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $31.62 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $100.00 | $165.96 | $302.00 |
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 $57.54 Median $57.54 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $22.91 | $25.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $100.00 Median $223.87 Typical High $223.87 | Professional | 59 · Distinct service | $100.00 | $223.87 | $223.87 |
Where Georgia sits
The same service costs 4.0 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
$158
MN $380UT $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.