How much rates vary
Facilitymedian $132 · 10th to 90th $132 to $148Professionalmedian $151 · 10th to 90th $91 to $275
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 $131.83 Median $131.83 Typical High $144.54 | Facility | None | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $323.59 | Professional | None (both parts) | $131.83 | $141.25 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $79.43 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $147.91 | Professional | TC · Technical part | $58.88 | $60.26 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $134.90 | $199.53 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $134.90 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $91.20 | $151.36 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $57.54 | $87.10 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $109.65 | Professional | TC · Technical part | $41.69 | $63.10 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $58.88 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $58.88 | $102.33 | $169.82 |
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 $151.36 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $151.36 | $208.93 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $245.47 | Professional | 26 · Professional part | $83.18 | $114.82 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $66.07 | $87.10 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $616.60 | Professional | None | $151.36 | $186.21 | $616.60 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $338.84 | Professional | 26 · Professional part | $85.11 | $104.71 | $338.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $275.42 | Professional | TC · Technical part | $66.07 | $81.28 | $275.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $79.43 | $138.04 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $144.54 | $245.47 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $138.04 Typical High $229.09 | Professional | 26 · Professional part | $81.28 | $138.04 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $107.15 | $173.78 |
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 $66.07 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $26.30 | $29.51 |
Where Georgia sits
The same service costs 4.0 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· 31st of 51
$151
AK $339TX $85.11
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.