How much rates vary
Facilitymedian $126 · 10th to 90th $27 to $389Professionalmedian $40 · 10th to 90th $26 to $71
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 $26.92 Median $28.18 Typical High $56.23 | Facility | None | $26.92 | $28.18 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $77.62 | Professional | None (both parts) | $26.92 | $29.51 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $22.39 | Professional | 26 · Professional part | $7.59 | $8.91 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $60.26 | Professional | TC · Technical part | $19.50 | $20.89 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $57.54 | Professional | None (both parts) | $27.54 | $44.67 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $15.49 Typical High $16.22 | Professional | 26 · Professional part | $6.92 | $15.49 | $16.22 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $25.70 | $37.15 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $18.62 | Professional | 26 · Professional part | $7.59 | $11.48 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $29.51 Typical High $45.71 | Professional | TC · Technical part | $16.22 | $29.51 | $45.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $22.91 Typical High $34.67 | Professional | None (both parts) | $7.59 | $22.91 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $77.62 | Professional | None (both parts) | $36.31 | $50.12 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $9.12 | $13.18 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $34.67 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $77.62 | Professional | None | $33.11 | $38.02 | $77.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $39.81 | Professional | 26 · Professional part | $9.33 | $10.96 | $39.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $77.62 | Professional | TC · Technical part | $23.99 | $26.92 | $77.62 |
Oscar Health Setting Facility Modifier None Typical Low $281.84 Median $323.59 Typical High $524.81 | Facility | None | $281.84 | $323.59 | $524.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $12.88 Median $30.90 Typical High $58.88 | Professional | None (both parts) | $12.88 | $30.90 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $50.12 Typical High $85.11 | Professional | None (both parts) | $32.36 | $50.12 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $23.99 | Professional | 26 · Professional part | $8.13 | $12.02 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $37.15 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $37.15 | $60.26 |
5 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 $13.49 Median $13.49 Typical High $15.14 | Professional | 52 · Reduced service | $13.49 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.03 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.03 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $27.54 Median $46.77 Typical High $52.48 | Professional | 59 · Distinct service | $27.54 | $46.77 | $52.48 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | Q6 · Substitute physician, paid per time | $57.54 | $57.54 | $57.54 |
Where Georgia sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 19th of 51
$39.81
MN $67.61TX $26.92
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.