How much rates vary
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 $323.59 Median $323.59 Typical High $338.84 | Facility | None | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $331.13 Typical High $851.14 | Professional | None (both parts) | $323.59 | $331.13 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $57.54 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $269.15 | $707.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $354.81 Median $630.96 Typical High $691.83 | Professional | None (both parts) | $354.81 | $630.96 | $691.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $112.20 | Professional | 26 · Professional part | $100.00 | $107.15 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $218.78 | $371.54 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $40.74 | $63.10 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $309.03 Typical High $575.44 | Professional | TC · Technical part | $154.88 | $309.03 | $575.44 |
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 $251.19 Median $416.87 Typical High $1,096.48 | Professional | None (both parts) | $251.19 | $416.87 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $81.28 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $363.08 Typical High $912.01 | Professional | TC · Technical part | $204.17 | $363.08 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $616.60 | Professional | None | $288.40 | $467.74 | $616.60 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $77.62 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $398.11 Typical High $478.63 | Professional | TC · Technical part | $288.40 | $398.11 | $478.63 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $79.43 | $416.87 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $478.63 Typical High $1,071.52 | Professional | None (both parts) | $269.15 | $478.63 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $56.23 | $93.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $416.87 Typical High $891.25 | Professional | TC · Technical part | $208.93 | $416.87 | $891.25 |
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 $162.18 Median $162.18 Typical High $173.78 | Professional | 52 · Reduced service | $162.18 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | 53 · Discontinued | $64.57 | $64.57 | $69.18 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 27th of 51
$372
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.