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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $630.96 | Professional | None (both parts) | $549.54 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | 26 · Professional part | $204.17 | $204.17 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | TC · Technical part | $346.74 | $346.74 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $676.08 Typical High $1,230.27 | Professional | None (both parts) | $354.81 | $676.08 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $245.47 Typical High $426.58 | Professional | 26 · Professional part | $162.18 | $245.47 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $89.13 | $478.63 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $741.31 Typical High $2,187.76 | Professional | None (both parts) | $446.68 | $741.31 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $323.59 Typical High $691.83 | Professional | 26 · Professional part | $234.42 | $323.59 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $446.68 Typical High $1,513.56 | Professional | TC · Technical part | $186.21 | $446.68 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,096.48 | Professional | None | $691.83 | $912.01 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $295.12 Typical High $562.34 | Professional | 26 · Professional part | $239.88 | $295.12 | $562.34 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $691.83 Typical High $776.25 | Professional | TC · Technical part | $549.54 | $691.83 | $776.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $776.25 Typical High $1,445.44 | Professional | None (both parts) | $316.23 | $776.25 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $831.76 Typical High $1,995.26 | Professional | None (both parts) | $426.58 | $831.76 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $371.54 Typical High $645.65 | Professional | 26 · Professional part | $223.87 | $371.54 | $645.65 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $537.03 Typical High $1,318.26 | Professional | TC · Technical part | $138.04 | $537.03 | $1,318.26 |
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 $275.42 Median $275.42 Typical High $309.03 | Professional | 52 · Reduced service | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | 53 · Discontinued | $112.20 | $112.20 | $123.03 |
Where Georgia sits
The same service costs 3.2 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· 31st of 51
$661
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.