How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,513.56 Median $7,244.36 Typical High $8,709.64 | Facility | None | $1,513.56 | $7,244.36 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $199.53 | $371.54 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $977.24 Typical High $1,174.90 | Professional | None (both parts) | $776.25 | $977.24 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $2,570.40 Typical High $3,311.31 | Professional | TC · Technical part | $1,548.82 | $2,570.40 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $331.13 | Facility | None | $269.15 | $316.23 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Where Georgia sits
The same service costs 56.2 times more in Nebraska than in Montana. 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· 40th of 51
$977
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.