How much rates vary
Facilitymedian $275 · 10th to 90th $275 to $355Professionalmedian $363 · 10th to 90th $234 to $724
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 $275.42 Median $275.42 Typical High $302.00 | Facility | None | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $109.65 | $109.65 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $162.18 | $162.18 | $190.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $407.38 Typical High $724.44 | Professional | None (both parts) | $125.89 | $407.38 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $162.18 Typical High $275.42 | Professional | 26 · Professional part | $89.13 | $162.18 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $263.03 Typical High $281.84 | Professional | TC · Technical part | $17.38 | $263.03 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $851.14 | Professional | None (both parts) | $302.00 | $371.54 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $147.91 Typical High $338.84 | Professional | 26 · Professional part | $100.00 | $147.91 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $512.86 | Professional | TC · Technical part | $181.97 | $229.09 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $524.81 | Professional | None | $389.05 | $446.68 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $138.04 | $141.25 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $316.23 Typical High $446.68 | Professional | TC · Technical part | $234.42 | $316.23 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $144.54 | $218.78 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $269.15 | $426.58 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $371.54 | Professional | 26 · Professional part | $102.33 | $154.88 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $234.42 Typical High $512.86 | Professional | TC · Technical part | $151.36 | $234.42 | $512.86 |
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 $138.04 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $54.95 | $54.95 | $60.26 |
Where Georgia sits
The same service costs 9.8 times more in Alaska than in New York. 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
$363
AK $631NY $64.57
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.