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 $501.19 Median $501.19 Typical High $1,348.96 | Facility | None | $501.19 | $501.19 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $501.19 | $588.84 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $831.76 Typical High $2,630.27 | Facility | None | $426.58 | $831.76 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $1,513.56 | Professional | None (both parts) | $67.61 | $107.15 | $1,513.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,479.11 Typical High $1,621.81 | Professional | TC · Technical part | $933.25 | $1,479.11 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,659.59 Typical High $2,290.87 | Facility | None | $977.24 | $1,659.59 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $3,630.78 | Professional | None | $676.08 | $977.24 | $3,630.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $758.58 | $1,023.29 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $1,621.81 | Professional | None (both parts) | $316.23 | $457.09 | $1,621.81 |
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 $501.19 Median $588.84 Typical High $724.44 | Professional | 26 · Professional part | $501.19 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $295.12 Typical High $363.08 | Professional | 52 · Reduced service | $251.19 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $117.49 Typical High $144.54 | Professional | 53 · Discontinued | $100.00 | $117.49 | $144.54 |
Where Georgia sits
The same service costs 5.4 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
$363
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.