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 $436.52 Median $436.52 Typical High $1,174.90 | Facility | None | $436.52 | $436.52 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $436.52 | $512.86 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $588.84 Typical High $891.25 | Facility | None | $32.36 | $588.84 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.76 Median $13.80 Typical High $660.69 | Professional | None (both parts) | $7.76 | $13.80 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $1,995.26 | Facility | None | $1,047.13 | $1,445.44 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $758.58 Typical High $954.99 | Professional | None (both parts) | $660.69 | $758.58 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | None | $724.44 | $724.44 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $1,380.38 | Professional | None (both parts) | $275.42 | $398.11 | $1,380.38 |
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 $218.78 Median $257.04 Typical High $316.23 | Professional | 52 · Reduced service | $218.78 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $102.33 Typical High $125.89 | Professional | 53 · Discontinued | $89.13 | $102.33 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $676.08 Typical High $1,288.25 | Professional | TC · Technical part | $645.65 | $676.08 | $1,288.25 |
Where Georgia sits
The same service costs 114.8 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· 42nd of 51
$398
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.