How much rates vary
Facilitymedian $339 · 10th to 90th $339 to $513Professionalmedian $398 · 10th to 90th $257 to $776
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 $338.84 Median $338.84 Typical High $512.86 | Facility | None | $338.84 | $338.84 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $891.25 | Professional | None (both parts) | $338.84 | $338.84 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $42.66 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $776.25 | Professional | TC · Technical part | $295.12 | $295.12 | $776.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $45.71 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $257.04 | $398.11 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $50.12 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $229.09 | $346.74 | $630.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $380.19 Typical High $467.74 | Professional | None (both parts) | $50.12 | $380.19 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $467.74 Typical High $1,174.90 | Professional | None (both parts) | $338.84 | $467.74 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $138.04 | Professional | 26 · Professional part | $47.86 | $66.07 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $398.11 Typical High $1,023.29 | Professional | TC · Technical part | $288.40 | $398.11 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $7,079.46 | Professional | None | $426.58 | $524.81 | $7,079.46 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $1,071.52 | Professional | 26 · Professional part | $47.86 | $58.88 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $467.74 Typical High $6,025.60 | Professional | TC · Technical part | $380.19 | $467.74 | $6,025.60 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $64.57 | $467.74 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $562.34 Typical High $1,148.15 | Professional | None (both parts) | $331.13 | $562.34 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $46.77 | $77.62 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $489.78 Typical High $1,000.00 | Professional | TC · Technical part | $288.40 | $489.78 | $1,000.00 |
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 $165.96 Median $165.96 Typical High $181.97 | Professional | 52 · Reduced service | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | 53 · Discontinued | $67.61 | $67.61 | $72.44 |
Where Georgia sits
The same service costs 3.0 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· 24th of 51
$398
AK $813NM $275
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.