How much rates vary
Facilitymedian $120 · 10th to 90th $120 to $132Professionalmedian $129 · 10th to 90th $83 to $251
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 $120.23 Median $120.23 Typical High $131.83 | Facility | None | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $316.23 | Professional | None (both parts) | $120.23 | $125.89 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $45.71 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $79.43 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $112.20 | $158.49 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $83.18 | $128.82 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $46.77 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $53.70 | $85.11 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $120.23 | $181.97 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $47.86 | $67.61 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $245.47 | Professional | TC · Technical part | $72.44 | $117.49 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $234.42 | Professional | None | $131.83 | $162.18 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $57.54 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $165.96 | Professional | TC · Technical part | $85.11 | $104.71 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $63.10 | $120.23 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $120.23 | $208.93 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $74.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $134.90 | $234.42 |
3 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 $60.26 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.92 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $97.72 Median $114.82 Typical High $223.87 | Professional | 59 · Distinct service | $97.72 | $114.82 | $223.87 |
Where Georgia sits
The same service costs 3.2 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· 36th of 51
$129
AK $302TX $93.33
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.