How much rates vary
Facilitymedian $81 · 10th to 90th $39 to $81Professionalmedian $93 · 10th to 90th $56 to $170
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 $81.28 Median $81.28 Typical High $89.13 | Facility | None | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $85.11 Typical High $213.80 | Professional | None (both parts) | $81.28 | $85.11 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $38.02 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $47.86 Typical High $123.03 | Professional | TC · Technical part | $46.77 | $47.86 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $117.49 | $123.03 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $56.23 | $89.13 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $40.74 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $32.36 | $52.48 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $83.18 | $117.49 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $56.23 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $61.66 Typical High $144.54 | Professional | TC · Technical part | $43.65 | $61.66 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $467.74 | Professional | None | $93.33 | $117.49 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $223.87 | Professional | 26 · Professional part | $39.81 | $48.98 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $239.88 | Professional | TC · Technical part | $54.95 | $67.61 | $239.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $83.18 Typical High $165.96 | Professional | None (both parts) | $46.77 | $83.18 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $81.28 | $138.04 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $63.10 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $44.67 | $75.86 | $144.54 |
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 $40.74 Median $40.74 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $18.20 | Professional | 53 · Discontinued | $16.22 | $16.22 | $18.20 |
Where Georgia sits
The same service costs 3.0 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· 27th of 51
$93.33
AK $204TX $67.61
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.