How much rates vary
Facilitymedian $158 · 10th to 90th $112 to $245Professionalmedian $170 · 10th to 90th $110 to $324
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 $158.49 Median $158.49 Typical High $245.47 | Facility | None | $158.49 | $158.49 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $416.87 | Professional | None (both parts) | $158.49 | $158.49 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $77.62 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $223.87 | Professional | TC · Technical part | $79.43 | $85.11 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $83.18 | $144.54 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $109.65 | $169.82 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $89.13 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $35.48 | $85.11 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $75.86 | $104.71 | $199.53 |
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 $141.25 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $141.25 | $223.87 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $117.49 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $107.15 Typical High $251.19 | Professional | TC · Technical part | $44.67 | $107.15 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $323.59 | Professional | None | $173.78 | $213.80 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $263.03 | Professional | 26 · Professional part | $87.10 | $107.15 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $323.59 | Professional | TC · Technical part | $81.28 | $107.15 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $83.18 | $158.49 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $141.25 | $245.47 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $81.28 | $134.90 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $45.71 | $125.89 | $234.42 |
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 $79.43 Median $79.43 Typical High $89.13 | Professional | 52 · Reduced service | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | 53 · Discontinued | $31.62 | $31.62 | $35.48 |
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· 26th of 51
$170
AK $398TX $102
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.