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 $1,621.81 Median $1,621.81 Typical High $4,365.16 | Facility | None | $1,621.81 | $1,621.81 | $4,365.16 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,905.46 Typical High $2,344.23 | Professional | None (both parts) | $1,621.81 | $1,905.46 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $2,290.87 Typical High $3,311.31 | Facility | None | $28.84 | $2,290.87 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.75 Median $1,949.84 Typical High $4,265.80 | Professional | None (both parts) | $5.75 | $1,949.84 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $5,370.32 Typical High $7,413.10 | Facility | None | $3,890.45 | $5,370.32 | $7,413.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $3,467.37 | Professional | None | $2,187.76 | $2,818.38 | $3,467.37 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $3,311.31 Typical High $4,365.16 | Professional | None (both parts) | $2,454.71 | $3,311.31 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $5,248.07 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $5,248.07 |
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 $812.83 Median $954.99 Typical High $1,174.90 | Professional | 52 · Reduced service | $812.83 | $954.99 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $380.19 Typical High $467.74 | Professional | 53 · Discontinued | $323.59 | $380.19 | $467.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2,398.83 Median $3,630.78 Typical High $6,025.60 | Professional | TC · Technical part | $2,398.83 | $3,630.78 | $6,025.60 |
Where Georgia sits
The same service costs 8.9 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· 30th of 51
$1,950
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.