How much rates vary
Facilitymedian $38 · 10th to 90th $38 to $51Professionalmedian $50 · 10th to 90th $36 to $102
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 $38.02 Median $38.02 Typical High $47.86 | Facility | None | $38.02 | $38.02 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | None (both parts) | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | 26 · Professional part | $11.48 | $11.48 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | TC · Technical part | $26.30 | $26.30 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $40.74 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $100.00 | Professional | None (both parts) | $36.31 | $50.12 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $27.54 | Professional | 26 · Professional part | $10.47 | $13.80 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $63.10 | Professional | TC · Technical part | $26.92 | $36.31 | $63.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None (both parts) | $10.96 | $10.96 | $10.96 |
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 $43.65 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $43.65 | $69.18 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $19.50 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $47.86 Typical High $93.33 | Professional | TC · Technical part | $28.84 | $47.86 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $194.98 | Professional | None | $53.70 | $63.10 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $56.23 | Professional | 26 · Professional part | $13.80 | $16.22 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $138.04 | Professional | TC · Technical part | $39.81 | $46.77 | $138.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $19.05 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $19.05 | $51.29 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $61.66 Typical High $123.03 | Professional | None (both parts) | $39.81 | $61.66 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.62 Typical High $35.48 | Professional | 26 · Professional part | $12.30 | $18.62 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $42.66 Typical High $87.10 | Professional | TC · Technical part | $26.92 | $42.66 | $87.10 |
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 $19.05 Median $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.32 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.32 |
Where Georgia sits
The same service costs 2.9 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· 24th of 51
$50.12
AK $89.13UT $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.