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 $109.65 Median $109.65 Typical High $288.40 | Facility | None | $109.65 | $109.65 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $109.65 | $128.82 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $562.34 | Facility | None | $123.03 | $204.17 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $147.91 Typical High $323.59 | Professional | None (both parts) | $51.29 | $147.91 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $323.59 Typical High $354.81 | Professional | TC · Technical part | $199.53 | $323.59 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $363.08 Typical High $501.19 | Facility | None | $213.80 | $363.08 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $1,318.26 | Professional | None | $147.91 | $213.80 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $162.18 | $218.78 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $346.74 | Professional | None (both parts) | $85.11 | $120.23 | $346.74 |
3 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 $109.65 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $109.65 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $64.57 Typical High $79.43 | Professional | 52 · Reduced service | $54.95 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $25.70 | $31.62 |
Where Georgia sits
The same service costs 8.3 times more in Texas 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· 31st of 51
$158
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.