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 $251.19 Median $537.03 Typical High $691.83 | Facility | None | $251.19 | $537.03 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $302.00 | Professional | None (both parts) | $223.87 | $295.12 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $501.19 | Facility | None | $239.88 | $371.54 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $467.74 | Professional | None (both parts) | $95.50 | $151.36 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $831.76 Typical High $1,148.15 | Facility | None | $489.78 | $831.76 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $3,019.95 | Professional | None | $371.54 | $489.78 | $3,019.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $691.83 | Professional | None (both parts) | $407.38 | $501.19 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $794.33 | Professional | None (both parts) | $158.49 | $223.87 | $794.33 |
4 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 26 · Professional part Typical Low $251.19 Median $295.12 Typical High $363.08 | Professional | 26 · Professional part | $251.19 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $147.91 Typical High $181.97 | Professional | 52 · Reduced service | $125.89 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $58.88 Typical High $72.44 | Professional | 53 · Discontinued | $50.12 | $58.88 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $676.08 Typical High $912.01 | Professional | TC · Technical part | $371.54 | $676.08 | $912.01 |
Where Georgia sits
The same service costs 12.3 times more in Texas than in Georgia. 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· 51st of 51
$151
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.