How much rates vary
Facilitymedian $110 · 10th to 90th $95 to $120Professionalmedian $120 · 10th to 90th $65 to $229
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 $109.65 Median $109.65 Typical High $120.23 | Facility | None | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $269.15 | Professional | None (both parts) | $109.65 | $109.65 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $46.77 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $154.88 | Professional | TC · Technical part | $60.26 | $63.10 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $63.10 | $120.23 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $60.26 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $42.66 | $66.07 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $354.81 | Professional | None (both parts) | $97.72 | $151.36 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $52.48 | $74.13 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $83.18 Typical High $194.98 | Professional | TC · Technical part | $40.74 | $83.18 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $199.53 | Professional | None | $128.82 | $158.49 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $67.61 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $89.13 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $63.10 | $117.49 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $104.71 | $173.78 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $51.29 | $85.11 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $46.77 | $95.50 | $194.98 |
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 $54.95 Median $54.95 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $21.88 | $24.55 |
Where Georgia sits
The same service costs 3.9 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· 29th of 51
$120
AK $282TX $72.44
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.