How much rates vary
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 $141.25 | Facility | None | $131.83 | $131.83 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $131.83 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | 26 · Professional part | $24.55 | $24.55 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $107.15 | $107.15 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
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 $19.50 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $19.50 | $33.11 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $46.77 | $147.91 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $549.54 | Professional | None (both parts) | $123.03 | $177.83 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $28.18 | $40.74 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $151.36 Typical High $457.09 | Professional | TC · Technical part | $93.33 | $151.36 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $275.42 | Professional | None | $173.78 | $223.87 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $147.91 | Professional | 26 · Professional part | $28.84 | $35.48 | $147.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $190.55 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $38.02 | $213.80 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $107.15 | $213.80 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $46.77 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $169.82 Typical High $416.87 | Professional | TC · Technical part | $72.44 | $169.82 | $416.87 |
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 $83.18 | Professional | 52 · Reduced service | $66.07 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | 53 · Discontinued | $26.30 | $26.30 | $33.11 |
Where Georgia sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 32nd of 51
$166
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.