How much rates vary
Facilitymedian $98 · 10th to 90th $98 to $129Professionalmedian $100 · 10th to 90th $60 to $209
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 $97.72 Median $97.72 Typical High $128.82 | Facility | None | $97.72 | $97.72 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $97.72 | $97.72 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $32.36 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $64.57 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $190.55 | $190.55 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $61.66 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $56.23 | $100.00 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $38.02 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $16.60 | $67.61 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $38.02 | $81.28 | $128.82 |
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 $67.61 Median $109.65 Typical High $323.59 | Professional | None (both parts) | $67.61 | $109.65 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $104.71 | Professional | 26 · Professional part | $35.48 | $50.12 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $66.07 Typical High $218.78 | Professional | TC · Technical part | $25.70 | $66.07 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $151.36 | Professional | None | $107.15 | $125.89 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $44.67 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $95.50 | $125.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $48.98 | $109.65 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $131.83 Typical High $302.00 | Professional | None (both parts) | $67.61 | $131.83 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $34.67 | $58.88 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $83.18 Typical High $204.17 | Professional | TC · Technical part | $22.91 | $83.18 | $204.17 |
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 $48.98 Median $48.98 Typical High $53.70 | Professional | 52 · Reduced service | $48.98 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | 53 · Discontinued | $19.50 | $19.50 | $21.38 |
Where Georgia sits
The same service costs 3.5 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· 33rd of 51
$100
AK $229KY $64.57
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.