How much rates vary
Facilitymedian $240 · 10th to 90th $240 to $288Professionalmedian $275 · 10th to 90th $182 to $513
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 $239.88 Median $239.88 Typical High $269.15 | Facility | None | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $257.04 Typical High $588.84 | Professional | None (both parts) | $239.88 | $257.04 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $162.18 Typical High $354.81 | Professional | 26 · Professional part | $144.54 | $162.18 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $95.50 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $245.47 | $446.68 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $234.42 | $281.84 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $181.97 | $275.42 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $173.78 Typical High $302.00 | Professional | 26 · Professional part | $112.20 | $173.78 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $67.61 | $104.71 | $173.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $93.33 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $93.33 | $204.17 | $316.23 |
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 $269.15 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $269.15 | $380.19 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $229.09 Typical High $478.63 | Professional | 26 · Professional part | $165.96 | $229.09 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $144.54 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $1,122.02 | Professional | None | $269.15 | $338.84 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $208.93 Typical High $676.08 | Professional | 26 · Professional part | $169.82 | $208.93 | $676.08 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $457.09 | Professional | TC · Technical part | $102.33 | $128.82 | $457.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $125.89 | $251.19 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $263.03 | $436.52 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $269.15 Typical High $457.09 | Professional | 26 · Professional part | $162.18 | $269.15 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $165.96 | $281.84 |
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 $120.23 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 53 · Discontinued | $48.98 | $48.98 | $54.95 |
Where Georgia sits
The same service costs 3.3 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· 28th of 51
$275
AK $589TX $178
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.