How much rates vary
Facilitymedian $148 · 10th to 90th $148 to $155Professionalmedian $174 · 10th to 90th $87 to $316
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 $147.91 Median $147.91 Typical High $154.88 | Facility | None | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $147.91 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | 26 · Professional part | $26.30 | $26.30 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $120.23 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $154.88 | $158.49 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $75.86 | $173.78 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $20.42 | $32.36 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $46.77 | $141.25 | $257.04 |
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 $123.03 Median $186.21 Typical High $489.78 | Professional | None (both parts) | $123.03 | $186.21 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $28.84 | $40.74 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $162.18 Typical High $467.74 | Professional | TC · Technical part | $93.33 | $162.18 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $269.15 | Professional | None | $154.88 | $199.53 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $131.83 | Professional | 26 · Professional part | $28.84 | $36.31 | $131.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $125.89 | $165.96 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $38.90 | $181.97 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $208.93 Typical High $478.63 | Professional | None (both parts) | $109.65 | $208.93 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $81.28 | Professional | 26 · Professional part | $28.18 | $46.77 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $173.78 Typical High $398.11 | Professional | TC · Technical part | $74.13 | $173.78 | $398.11 |
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 $72.44 Median $72.44 Typical High $89.13 | Professional | 52 · Reduced service | $72.44 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | 53 · Discontinued | $29.51 | $29.51 | $35.48 |
Where Georgia sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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
$174
AK $347NM $120
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.