How much rates vary
Facilitymedian $417 · 10th to 90th $209 to $646Professionalmedian $479 · 10th to 90th $219 to $933
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 $416.87 Median $416.87 Typical High $645.65 | Facility | None | $416.87 | $416.87 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $426.58 Typical High $1,096.48 | Professional | None (both parts) | $416.87 | $426.58 | $1,096.48 |
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 $371.54 Median $371.54 Typical High $977.24 | Professional | TC · Technical part | $371.54 | $371.54 | $977.24 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $446.68 Median $512.86 Typical High $933.25 | Professional | None (both parts) | $446.68 | $512.86 | $933.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $109.65 | Professional | 26 · Professional part | $79.43 | $104.71 | $109.65 |
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 $208.93 Median $478.63 Typical High $851.14 | Professional | None (both parts) | $208.93 | $478.63 | $851.14 |
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 $144.54 Median $426.58 Typical High $758.58 | Professional | TC · Technical part | $144.54 | $426.58 | $758.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $63.10 Median $467.74 Typical High $575.44 | Professional | None (both parts) | $63.10 | $467.74 | $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 $245.47 Median $537.03 Typical High $1,412.54 | Professional | None (both parts) | $245.47 | $537.03 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $83.18 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $457.09 Typical High $1,258.93 | Professional | TC · Technical part | $204.17 | $457.09 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $562.34 Typical High $691.83 | Professional | None | $269.15 | $562.34 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $74.13 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $501.19 Typical High $602.56 | Professional | TC · Technical part | $269.15 | $501.19 | $602.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $562.34 Typical High $954.99 | Professional | None (both parts) | $79.43 | $562.34 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $616.60 Typical High $1,380.38 | Professional | None (both parts) | $239.88 | $616.60 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $95.50 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $537.03 Typical High $1,202.26 | Professional | TC · Technical part | $165.96 | $537.03 | $1,202.26 |
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 $208.93 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $85.11 | $91.20 |
Where Georgia sits
The same service costs 3.0 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· 24th of 51
$479
AK $933NM $309
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.