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 $17.78 Median $19.05 Typical High $19.05 | Facility | None | $17.78 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $17.78 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $8.32 | $8.51 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $10.47 Typical High $10.47 | Professional | TC · Technical part | $9.55 | $10.47 | $10.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.72 Median $18.20 Typical High $33.88 | Professional | None (both parts) | $10.72 | $18.20 | $33.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $6.76 | $8.91 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $12.30 Typical High $21.38 | Professional | TC · Technical part | $9.33 | $12.30 | $21.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $32.36 | Professional | None | $17.78 | $19.50 | $32.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.13 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $8.13 | $17.38 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $11.22 Typical High $30.90 | Professional | TC · Technical part | $10.00 | $11.22 | $30.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.71 Median $17.78 Typical High $35.48 | Professional | None (both parts) | $8.71 | $17.78 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $16.22 Median $26.92 Typical High $50.12 | Professional | None (both parts) | $16.22 | $26.92 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $7.41 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $14.45 Typical High $26.30 | Professional | TC · Technical part | $8.91 | $14.45 | $26.30 |
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 $8.91 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $8.91 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.55 | $3.80 | $3.80 |
Where Georgia sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 42nd of 51
$18.62
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.