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 $1,949.84 Median $1,949.84 Typical High $5,128.61 | Facility | None | $1,949.84 | $1,949.84 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,290.87 Typical High $2,818.38 | Professional | None (both parts) | $1,949.84 | $2,290.87 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $2,630.27 Typical High $3,890.45 | Facility | None | $537.03 | $2,630.27 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $2,344.23 Typical High $3,801.89 | Professional | None (both parts) | $131.83 | $2,344.23 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $6,456.54 Typical High $8,912.51 | Facility | None | $4,570.88 | $6,456.54 | $8,912.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $3,388.44 Typical High $4,073.80 | Professional | None | $2,630.27 | $3,388.44 | $4,073.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $3,890.45 Typical High $5,128.61 | Professional | None (both parts) | $2,951.21 | $3,890.45 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,737.80 Typical High $6,309.57 | Professional | None (both parts) | $1,230.27 | $1,737.80 | $6,309.57 |
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 $977.24 Median $1,148.15 Typical High $1,412.54 | Professional | 52 · Reduced service | $977.24 | $1,148.15 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $457.09 Typical High $562.34 | Professional | 53 · Discontinued | $389.05 | $457.09 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $5,248.07 Typical High $7,079.46 | Professional | TC · Technical part | $2,884.03 | $5,248.07 | $7,079.46 |
Where Georgia sits
The same service costs 37.2 times more in Texas 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· 28th of 51
$2,344
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.