How much rates vary
Facilitymedian $398 · 10th to 90th $224 to $398Professionalmedian $468 · 10th to 90th $302 to $912
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 $302.00 Median $398.11 Typical High $398.11 | Facility | None | $302.00 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $407.38 Typical High $1,047.13 | Professional | None (both parts) | $398.11 | $407.38 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $87.10 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $831.76 | Professional | TC · Technical part | $316.23 | $316.23 | $831.76 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $151.36 Typical High $162.18 | Professional | 26 · Professional part | $93.33 | $151.36 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $831.76 | Professional | None (both parts) | $295.12 | $467.74 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $93.33 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $380.19 Typical High $660.69 | Professional | TC · Technical part | $186.21 | $380.19 | $660.69 |
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 $309.03 Median $512.86 Typical High $1,380.38 | Professional | None (both parts) | $309.03 | $512.86 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $263.03 | Professional | 26 · Professional part | $89.13 | $128.82 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $1,122.02 | Professional | TC · Technical part | $234.42 | $426.58 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $758.58 | Professional | None | $380.19 | $588.84 | $758.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $199.53 | Professional | 26 · Professional part | $93.33 | $114.82 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $467.74 Typical High $562.34 | Professional | TC · Technical part | $380.19 | $467.74 | $562.34 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $512.86 Typical High $933.25 | Professional | None (both parts) | $120.23 | $512.86 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $588.84 Typical High $1,348.96 | Professional | None (both parts) | $331.13 | $588.84 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $147.91 Typical High $257.04 | Professional | 26 · Professional part | $87.10 | $147.91 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $467.74 Typical High $1,096.48 | Professional | TC · Technical part | $239.88 | $467.74 | $1,096.48 |
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 $199.53 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $79.43 | $85.11 |
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
$468
AK $977NM $302
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.