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 $407.38 Median $407.38 Typical High $1,071.52 | Facility | None | $407.38 | $407.38 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $407.38 | $426.58 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $537.03 Typical High $812.83 | Facility | None | $288.40 | $537.03 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $489.78 Typical High $1,047.13 | Professional | None (both parts) | $69.18 | $489.78 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,862.09 | Facility | None | $954.99 | $1,348.96 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $851.14 | Professional | None | $549.54 | $691.83 | $851.14 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $812.83 Typical High $1,071.52 | Professional | None (both parts) | $602.56 | $812.83 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $1,288.25 | Professional | None (both parts) | $257.04 | $363.08 | $1,288.25 |
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 52 · Reduced service Typical Low $204.17 Median $239.88 Typical High $295.12 | Professional | 52 · Reduced service | $204.17 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $95.50 Typical High $117.49 | Professional | 53 · Discontinued | $81.28 | $95.50 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $891.25 Typical High $1,479.11 | Professional | TC · Technical part | $602.56 | $891.25 | $1,479.11 |
Where Georgia sits
The same service costs 47.9 times more in Texas than in Alabama. 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
$490
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.