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 $478.63 Median $478.63 Typical High $1,288.25 | Facility | None | $478.63 | $478.63 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $501.19 Typical High $691.83 | Professional | None (both parts) | $478.63 | $501.19 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $977.24 | Facility | None | $457.09 | $724.44 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $645.65 Typical High $1,412.54 | Professional | None (both parts) | $144.54 | $645.65 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,584.89 Typical High $2,187.76 | Facility | None | $933.25 | $1,584.89 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,698.24 Typical High $1,819.70 | Professional | None (both parts) | $363.08 | $1,698.24 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,174.90 | Professional | None | $645.65 | $933.25 | $1,174.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $891.25 Typical High $1,288.25 | Professional | None (both parts) | $724.44 | $891.25 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $1,548.82 | Professional | None (both parts) | $302.00 | $436.52 | $1,548.82 |
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 $239.88 Median $281.84 Typical High $346.74 | Professional | 52 · Reduced service | $239.88 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $138.04 | Professional | 53 · Discontinued | $95.50 | $112.20 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,071.52 Typical High $1,778.28 | Professional | TC · Technical part | $707.95 | $1,071.52 | $1,778.28 |
Where Georgia sits
The same service costs 10.2 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· 28th of 51
$631
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.