How much rates vary
Facilitymedian $302 · 10th to 90th $162 to $479Professionalmedian $195 · 10th to 90th $120 to $363
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 $128.82 Typical High $363.08 | Professional | None (both parts) | $120.23 | $128.82 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $66.07 | Professional | 26 · Professional part | $21.88 | $24.55 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $295.12 | Professional | TC · Technical part | $100.00 | $104.71 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $281.84 | Professional | None (both parts) | $112.20 | $229.09 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $42.66 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $42.66 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $302.00 Typical High $478.63 | Facility | None | $229.09 | $302.00 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $309.03 | Professional | None (both parts) | $117.49 | $186.21 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.30 Typical High $45.71 | Professional | 26 · Professional part | $15.14 | $26.30 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $95.50 | $154.88 | $263.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $316.23 Typical High $371.54 | Facility | None | $251.19 | $316.23 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $151.36 | $223.87 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $30.90 Typical High $64.57 | Professional | 26 · Professional part | $15.85 | $30.90 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $125.89 | $204.17 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $239.88 | Professional | None | $169.82 | $204.17 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $29.51 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $239.88 | Professional | TC · Technical part | $141.25 | $173.78 | $239.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $147.91 | $234.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $32.36 Typical High $69.18 | Professional | 26 · Professional part | $14.45 | $32.36 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $208.93 Typical High $363.08 | Professional | TC · Technical part | $123.03 | $208.93 | $363.08 |
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 $70.79 | Professional | 52 · Reduced service | $60.26 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $23.99 | $28.84 |
Where Georgia sits
The same service costs 3.7 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· 17th of 51
$195
AK $363UT $97.72
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.