How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $58Professionalmedian $44 · 10th to 90th $25 to $91
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $35.48 Median $35.48 Typical High $54.95 | Facility | None | $35.48 | $35.48 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $37.15 Typical High $104.71 | Professional | None (both parts) | $35.48 | $37.15 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.79 Typical High $39.81 | Professional | 26 · Professional part | $13.18 | $14.79 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $58.88 | Professional | TC · Technical part | $22.39 | $22.39 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $33.11 | $75.86 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $18.20 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $43.65 Typical High $77.62 | Professional | None (both parts) | $21.38 | $43.65 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $33.11 | Professional | 26 · Professional part | $13.18 | $18.62 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $56.23 | Professional | TC · Technical part | $21.88 | $28.18 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.18 Median $29.51 Typical High $50.12 | Professional | None (both parts) | $13.18 | $29.51 | $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 $41.69 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $41.69 | $57.54 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $15.85 | $22.91 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $72.44 | Professional | TC · Technical part | $25.12 | $35.48 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $79.43 | Professional | None | $46.77 | $54.95 | $79.43 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.50 Typical High $37.15 | Professional | 26 · Professional part | $15.85 | $19.50 | $37.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $79.43 | Professional | TC · Technical part | $30.90 | $36.31 | $79.43 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.39 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $22.39 | $43.65 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $109.65 | Professional | None (both parts) | $35.48 | $54.95 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $21.38 Typical High $41.69 | Professional | 26 · Professional part | $14.13 | $21.38 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $67.61 | Professional | TC · Technical part | $21.88 | $34.67 | $67.61 |
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 $17.78 Median $17.78 Typical High $19.95 | Professional | 52 · Reduced service | $17.78 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.94 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.94 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | 59 · Distinct service | $38.90 | $38.90 | $75.86 |
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 2.7 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· 25th of 51
$43.65
MN $83.18UT $30.90
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.