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 $2,454.71 Median $2,454.71 Typical High $6,456.54 | Facility | None | $2,454.71 | $2,454.71 | $6,456.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,570.40 Typical High $3,548.13 | Professional | None (both parts) | $2,454.71 | $2,570.40 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $3,235.94 Typical High $4,897.79 | Facility | None | $512.86 | $3,235.94 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $3,715.35 | Professional | None (both parts) | $131.83 | $208.93 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $5,754.40 Median $8,128.31 Typical High $11,220.18 | Facility | None | $5,754.40 | $8,128.31 | $11,220.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,311.31 Median $4,786.30 Typical High $29,512.09 | Professional | None | $3,311.31 | $4,786.30 | $29,512.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $4,897.79 Typical High $6,456.54 | Professional | None (both parts) | $3,715.35 | $4,897.79 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,187.76 Typical High $7,943.28 | Professional | None (both parts) | $1,548.82 | $2,187.76 | $7,943.28 |
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 $2,454.71 Median $2,884.03 Typical High $3,548.13 | Professional | 26 · Professional part | $2,454.71 | $2,884.03 | $3,548.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,445.44 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,230.27 | $1,445.44 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $575.44 Typical High $707.95 | Professional | 53 · Discontinued | $489.78 | $575.44 | $707.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3,630.78 Median $6,606.93 Typical High $8,912.51 | Professional | TC · Technical part | $3,630.78 | $6,606.93 | $8,912.51 |
Where Georgia sits
The same service costs 87.1 times more in Texas than in Indiana. 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· 50th of 51
$257
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.