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 $1,174.90 Median $1,174.90 Typical High $3,090.30 | Facility | None | $1,174.90 | $1,174.90 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,698.24 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $2,951.21 | Facility | None | $1,230.27 | $1,995.26 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,737.80 Typical High $3,890.45 | Professional | None (both parts) | $912.01 | $1,737.80 | $3,890.45 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $3,235.94 Typical High $4,168.69 | Professional | TC · Technical part | $2,238.72 | $3,235.94 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $4,265.80 Typical High $5,888.44 | Facility | None | $2,884.03 | $4,265.80 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $977.24 | $977.24 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,511.89 Typical High $3,235.94 | Professional | None | $1,737.80 | $2,511.89 | $3,235.94 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,398.83 Typical High $3,467.37 | Professional | None (both parts) | $1,949.84 | $2,398.83 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,047.13 Typical High $4,168.69 | Professional | None (both parts) | $812.83 | $1,047.13 | $4,168.69 |
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 $588.84 Median $691.83 Typical High $851.14 | Professional | 52 · Reduced service | $588.84 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | 53 · Discontinued | $234.42 | $275.42 | $338.84 |
Where Georgia sits
The same service costs 154.9 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· 21st of 51
$1,698
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.