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 $1,380.38 Median $1,380.38 Typical High $3,715.35 | Facility | None | $1,380.38 | $1,380.38 | $3,715.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,621.81 Typical High $1,995.26 | Professional | None (both parts) | $1,380.38 | $1,621.81 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $1,862.09 Typical High $2,818.38 | Facility | None | $32.36 | $1,862.09 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.76 Median $13.80 Typical High $2,089.30 | Professional | None (both parts) | $7.76 | $13.80 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $4,570.88 Typical High $6,309.57 | Facility | None | $3,235.94 | $4,570.88 | $6,309.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,398.83 Typical High $2,951.21 | Professional | None (both parts) | $2,089.30 | $2,398.83 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,691.53 | Professional | None | $2,290.87 | $2,290.87 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,258.93 Typical High $4,365.16 | Professional | None (both parts) | $870.96 | $1,258.93 | $4,365.16 |
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 $691.83 Median $812.83 Typical High $1,000.00 | Professional | 52 · Reduced service | $691.83 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $323.59 Typical High $398.11 | Professional | 53 · Discontinued | $275.42 | $323.59 | $398.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $2,089.30 Typical High $4,073.80 | Professional | TC · Technical part | $2,041.74 | $2,089.30 | $4,073.80 |
Where Georgia sits
The same service costs 354.8 times more in Wisconsin 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· 44th of 51
$1,259
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.