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 $524.81 Median $524.81 Typical High $1,412.54 | Facility | None | $524.81 | $524.81 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $562.34 Typical High $758.58 | Professional | None (both parts) | $524.81 | $562.34 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $1,071.52 | Facility | None | $501.19 | $758.58 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $630.96 Typical High $794.33 | Professional | None (both parts) | $151.36 | $630.96 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,398.83 | Facility | None | $1,258.93 | $1,737.80 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,122.02 | Professional | None | $707.95 | $912.01 | $1,122.02 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,071.52 Typical High $1,412.54 | Professional | None (both parts) | $794.33 | $1,071.52 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $1,698.24 | Professional | None (both parts) | $331.13 | $478.63 | $1,698.24 |
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 $263.03 Median $309.03 Typical High $380.19 | Professional | 52 · Reduced service | $263.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $104.71 | $123.03 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,445.44 Typical High $1,949.84 | Professional | TC · Technical part | $776.25 | $1,445.44 | $1,949.84 |
Where Georgia sits
The same service costs 12.0 times more in Texas 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· 28th of 51
$631
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.