How much rates vary
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 $154.88 Median $208.93 Typical High $1,445.44 | Facility | None | $154.88 | $208.93 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $407.38 | Professional | None (both parts) | $154.88 | $158.49 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $107.15 | Professional | 26 · Professional part | $38.02 | $41.69 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $309.03 | Professional | TC · Technical part | $117.49 | $117.49 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $128.82 | $177.83 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $72.44 | $75.86 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $109.65 | $177.83 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $2,290.87 Typical High $2,951.21 | Facility | None | $338.84 | $2,290.87 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $100.00 | $151.36 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $28.84 | $43.65 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $70.79 | $109.65 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $43.65 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $43.65 | $107.15 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $1,445.44 Typical High $1,445.44 | Facility | None | $107.15 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $173.78 | $245.47 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $70.79 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $128.82 | $169.82 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $269.15 | Professional | None | $144.54 | $173.78 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $144.54 | Professional | 26 · Professional part | $38.90 | $51.29 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $134.90 | $194.98 |
Oscar Health Setting Facility Modifier None Typical Low $354.81 Median $524.81 Typical High $645.65 | Facility | None | $354.81 | $524.81 | $645.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $54.95 | $141.25 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $162.18 | $269.15 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $42.66 | $72.44 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $120.23 | $199.53 | $302.00 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $61.66 | $245.47 | $245.47 |
Where Georgia sits
The same service costs 3.3 times more in Alaska 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· 34th of 51
$170
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.