How much rates vary
Facilitymedian $91 · 10th to 90th $91 to $126Professionalmedian $120 · 10th to 90th $38 to $240
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 $91.20 Median $91.20 Typical High $100.00 | Facility | None | $91.20 | $91.20 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | None (both parts) | $91.20 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | 26 · Professional part | $36.31 | $36.31 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | TC · Technical part | $56.23 | $56.23 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $38.02 | $125.89 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $28.18 | $42.66 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $32.36 | $72.44 | $117.49 |
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 $102.33 Median $134.90 Typical High $309.03 | Professional | None (both parts) | $102.33 | $134.90 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $120.23 | Professional | 26 · Professional part | $40.74 | $56.23 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $60.26 | $83.18 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $213.80 | Professional | None | $120.23 | $138.04 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $50.12 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $158.49 | Professional | TC · Technical part | $74.13 | $83.18 | $158.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $38.02 | $85.11 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $213.80 Typical High $691.83 | Professional | None (both parts) | $91.20 | $213.80 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $66.07 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $169.82 Typical High $575.44 | Professional | TC · Technical part | $40.74 | $169.82 | $575.44 |
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 $45.71 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $45.71 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $18.62 | $18.62 | $20.42 |
Where Georgia sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 22nd of 51
$120
HI $309KY $57.54
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.