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 $239.88 Median $239.88 Typical High $645.65 | Facility | None | $239.88 | $239.88 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $239.88 | $263.03 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $407.38 Typical High $489.78 | Facility | None | $229.09 | $407.38 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $128.82 | $288.40 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $1,096.48 | Facility | None | $562.34 | $794.33 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $501.19 | Professional | None | $323.59 | $416.87 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $776.25 | Professional | None (both parts) | $151.36 | $218.78 | $776.25 |
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 $120.23 Median $141.25 Typical High $173.78 | Professional | 52 · Reduced service | $120.23 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $56.23 Typical High $69.18 | Professional | 53 · Discontinued | $47.86 | $56.23 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $660.69 Typical High $891.25 | Professional | TC · Technical part | $354.81 | $660.69 | $891.25 |
Where Georgia sits
The same service costs 12.0 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· 29th of 51
$288
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.