How much rates vary
Facilitymedian $135 · 10th to 90th $135 to $224Professionalmedian $158 · 10th to 90th $76 to $295
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 $134.90 Median $134.90 Typical High $208.93 | Facility | None | $134.90 | $134.90 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $346.74 | Professional | None (both parts) | $134.90 | $134.90 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $25.12 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $109.65 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $120.23 | $138.04 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $74.13 | $165.96 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $19.50 | $32.36 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $46.77 | $134.90 | $234.42 |
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 $120.23 Median $177.83 Typical High $436.52 | Professional | None (both parts) | $120.23 | $177.83 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $83.18 | Professional | 26 · Professional part | $28.18 | $39.81 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $147.91 Typical High $398.11 | Professional | TC · Technical part | $91.20 | $147.91 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $257.04 | Professional | None | $138.04 | $177.83 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $147.91 | Professional | 26 · Professional part | $27.54 | $33.88 | $147.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $112.20 | $144.54 | $204.17 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $37.15 | $162.18 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $199.53 Typical High $436.52 | Professional | None (both parts) | $107.15 | $199.53 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $44.67 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $158.49 Typical High $354.81 | Professional | TC · Technical part | $70.79 | $158.49 | $354.81 |
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 $67.61 Median $67.61 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $30.90 | Professional | 53 · Discontinued | $26.92 | $26.92 | $30.90 |
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· 30th of 51
$158
AK $324TX $102
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.