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 $239.88 Median $239.88 Typical High $630.96 | Facility | None | $239.88 | $239.88 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $316.23 Typical High $478.63 | Facility | None | $10.47 | $316.23 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2.69 Median $4.27 Typical High $354.81 | Professional | None (both parts) | $2.69 | $4.27 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $794.33 Typical High $1,096.48 | Facility | None | $467.74 | $794.33 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $407.38 | $436.52 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $467.74 | Professional | None | $389.05 | $389.05 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $758.58 | Professional | None (both parts) | $151.36 | $213.80 | $758.58 |
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 $239.88 Median $281.84 Typical High $346.74 | Professional | 26 · Professional part | $239.88 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $138.04 Typical High $169.82 | Professional | 52 · Reduced service | $120.23 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $56.23 Typical High $69.18 | Professional | 53 · Discontinued | $47.86 | $56.23 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $354.81 | $363.08 | $691.83 |
Where Georgia sits
The same service costs 4.5 times more in Alaska than in Ohio. 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· 44th of 51
$214
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.