How much rates vary
Facilitymedian $316 · 10th to 90th $120 to $363Professionalmedian $174 · 10th to 90th $120 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 $120.23 Typical High $144.54 | Professional | None (both parts) | $120.23 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 26 · Professional part | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | TC · Technical part | $100.00 | $100.00 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $257.04 | $257.04 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $117.49 | $158.49 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $27.54 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $95.50 | $131.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $323.59 Typical High $363.08 | Facility | None | $263.03 | $323.59 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $151.36 | $199.53 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $74.13 | Professional | 26 · Professional part | $25.12 | $33.11 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $389.05 | Professional | TC · Technical part | $125.89 | $165.96 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $257.04 | Professional | None | $165.96 | $173.78 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $30.90 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $158.49 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $31.62 | $173.78 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $154.88 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $35.48 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $186.21 Typical High $331.13 | Professional | TC · Technical part | $128.82 | $186.21 | $331.13 |
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 $66.07 | Professional | 52 · Reduced service | $60.26 | $60.26 | $66.07 |
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 3.8 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· 21st of 51
$174
AK $363UT $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.