How much rates vary
Facilitymedian $468 · 10th to 90th $245 to $631Professionalmedian $309 · 10th to 90th $229 to $589
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 $245.47 Median $245.47 Typical High $263.03 | Facility | None | $245.47 | $245.47 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $251.19 Typical High $645.65 | Professional | None (both parts) | $245.47 | $251.19 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $38.90 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $213.80 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $380.19 Typical High $436.52 | Professional | None (both parts) | $229.09 | $380.19 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $229.09 | $275.42 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $44.67 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $194.98 | $251.19 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $537.03 Typical High $630.96 | Facility | None | $316.23 | $537.03 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $776.25 | Professional | None (both parts) | $257.04 | $338.84 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $51.29 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $281.84 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $426.58 | Professional | None | $281.84 | $295.12 | $426.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $48.98 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $239.88 | $263.03 | $416.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $52.48 | $295.12 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $263.03 | $380.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $54.95 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $575.44 | Professional | TC · Technical part | $229.09 | $323.59 | $575.44 |
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 $123.03 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $50.12 | $50.12 | $53.70 |
Where Georgia sits
The same service costs 3.1 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· 20th of 51
$309
AK $631UT $204
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.