How much rates vary
Facilitymedian $174 · 10th to 90th $112 to $224Professionalmedian $170 · 10th to 90th $98 to $324
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 $112.20 Median $112.20 Typical High $123.03 | Facility | None | $112.20 | $112.20 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $331.13 | Professional | None (both parts) | $112.20 | $123.03 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $162.18 | Professional | 26 · Professional part | $54.95 | $61.66 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $162.18 | Professional | TC · Technical part | $56.23 | $58.88 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $147.91 | $234.42 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $223.87 | Facility | None | $112.20 | $186.21 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $81.28 | $165.96 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $77.62 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $56.23 | $97.72 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $316.23 | Facility | None | $117.49 | $162.18 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $125.89 | $213.80 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $186.21 | Professional | 26 · Professional part | $61.66 | $85.11 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $60.26 | $109.65 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $446.68 | Professional | None | $141.25 | $158.49 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $177.83 | Professional | 26 · Professional part | $69.18 | $81.28 | $177.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $446.68 | Professional | TC · Technical part | $70.79 | $81.28 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $79.43 | $112.20 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $123.03 | $204.17 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $89.13 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $60.26 | $114.82 | $181.97 |
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 $56.23 Median $56.23 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.12 |
Where Georgia sits
The same service costs 4.6 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· 25th of 51
$170
AK $316UT $69.18
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.