How much rates vary
Facilitymedian $79 · 10th to 90th $79 to $87Professionalmedian $87 · 10th to 90th $55 to $158
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 $79.43 Median $79.43 Typical High $87.10 | Facility | None | $79.43 | $79.43 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | None (both parts) | $79.43 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $28.84 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $53.70 | Professional | TC · Technical part | $48.98 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $40.74 | $87.10 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $21.88 | $35.48 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $35.48 | $54.95 | $95.50 |
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 $72.44 Median $104.71 Typical High $257.04 | Professional | None (both parts) | $72.44 | $104.71 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $95.50 | Professional | 26 · Professional part | $32.36 | $44.67 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $64.57 Typical High $162.18 | Professional | TC · Technical part | $38.90 | $64.57 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $147.91 | Professional | None | $91.20 | $112.20 | $147.91 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $41.69 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $54.95 | $70.79 | $138.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $44.67 | $81.28 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $72.44 | $120.23 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $30.90 | $52.48 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $40.74 | $72.44 | $154.88 |
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 $39.81 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $17.78 | Professional | 53 · Discontinued | $15.85 | $15.85 | $17.78 |
Where Georgia sits
The same service costs 3.0 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· 31st of 51
$87.10
AK $204TX $69.18
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.