How much rates vary
Facilitymedian $95 · 10th to 90th $43 to $1,862Professionalmedian $63 · 10th to 90th $38 to $112
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 $42.66 Median $43.65 Typical High $85.11 | Facility | None | $42.66 | $43.65 | $85.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $19.50 | Facility | 26 · Professional part | $9.55 | $10.47 | $19.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $52.48 | Facility | TC · Technical part | $33.11 | $33.11 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $131.83 | Professional | None (both parts) | $42.66 | $45.71 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $34.67 | Professional | 26 · Professional part | $9.55 | $10.96 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $102.33 | Professional | TC · Technical part | $33.11 | $34.67 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $85.11 | Professional | None (both parts) | $39.81 | $57.54 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $8.51 | $13.18 | $19.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $37.15 | $64.57 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $17.38 Typical High $40.74 | Professional | 26 · Professional part | $9.55 | $17.38 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $48.98 Typical High $77.62 | Professional | TC · Technical part | $29.51 | $48.98 | $77.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.55 Median $33.88 Typical High $50.12 | Professional | None (both parts) | $9.55 | $33.88 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $60.26 | $83.18 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.50 Typical High $29.51 | Professional | 26 · Professional part | $14.13 | $19.50 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $45.71 | $58.88 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $144.54 | Professional | None | $48.98 | $57.54 | $144.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $91.20 | Professional | 26 · Professional part | $11.48 | $14.13 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $144.54 | Professional | TC · Technical part | $37.15 | $43.65 | $144.54 |
Oscar Health Setting Facility Modifier None Typical Low $630.96 Median $1,862.09 Typical High $2,041.74 | Facility | None | $630.96 | $1,862.09 | $2,041.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $45.71 Typical High $85.11 | Professional | None (both parts) | $15.85 | $45.71 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $53.70 | $75.86 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.20 Typical High $30.90 | Professional | 26 · Professional part | $12.59 | $18.20 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $40.74 | $57.54 | $89.13 |
4 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 $21.38 Median $21.38 Typical High $23.44 | Professional | 52 · Reduced service | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $9.33 | Professional | 53 · Discontinued | $8.51 | $8.51 | $9.33 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $40.74 Median $43.65 Typical High $85.11 | Professional | 59 · Distinct service | $40.74 | $43.65 | $85.11 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | XU · Unusual separate service | $75.86 | $75.86 | $75.86 |
Where Georgia sits
The same service costs 3.3 times more in Minnesota 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· 16th of 51
$63.10
MN $105UT $31.62
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.