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 $89.13 Median $89.13 Typical High $239.88 | Facility | None | $89.13 | $89.13 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $89.13 | $93.33 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $562.34 | Facility | None | $87.10 | $154.88 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $134.90 | $177.83 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $288.40 | Professional | TC · Technical part | $154.88 | $223.87 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $407.38 | Facility | None | $208.93 | $295.12 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $223.87 | Professional | None | $120.23 | $173.78 | $223.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $134.90 | $165.96 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $288.40 | Professional | None (both parts) | $56.23 | $81.28 | $288.40 |
2 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 $44.67 Median $52.48 Typical High $64.57 | Professional | 52 · Reduced service | $44.67 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $25.70 | Professional | 53 · Discontinued | $17.78 | $20.89 | $25.70 |
Where Georgia sits
The same service costs 11.7 times more in Texas than in New Mexico. 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· 11th of 51
$178
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.