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 $2,754.23 Median $2,754.23 Typical High $7,413.10 | Facility | None | $2,754.23 | $2,754.23 | $7,413.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,951.21 Typical High $3,981.07 | Professional | None (both parts) | $2,754.23 | $2,951.21 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $3,715.35 Typical High $5,623.41 | Facility | None | $537.03 | $3,715.35 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $4,168.69 | Professional | None (both parts) | $131.83 | $234.42 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $9,120.11 Typical High $12,589.25 | Facility | None | $6,606.93 | $9,120.11 | $12,589.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $5,888.44 | Professional | None | $3,801.89 | $4,786.30 | $5,888.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $5,623.41 Typical High $7,413.10 | Professional | None (both parts) | $4,168.69 | $5,623.41 | $7,413.10 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,511.89 Typical High $8,912.51 | Professional | None (both parts) | $1,737.80 | $2,511.89 | $8,912.51 |
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 $1,380.38 Median $1,621.81 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,380.38 | $1,621.81 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $645.65 Typical High $794.33 | Professional | 53 · Discontinued | $562.34 | $645.65 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4,073.80 Median $7,585.78 Typical High $10,232.93 | Professional | TC · Technical part | $4,073.80 | $7,585.78 | $10,232.93 |
Where Georgia sits
The same service costs 67.6 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· 38th of 51
$2,754
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.