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 $2,398.83 Median $5,128.61 Typical High $15,488.17 | Facility | None | $2,398.83 | $5,128.61 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,818.38 Typical High $3,467.37 | Professional | None (both parts) | $2,398.83 | $2,818.38 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,290.87 | $3,630.78 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $3,630.78 Typical High $7,079.46 | Professional | None (both parts) | $912.01 | $3,630.78 | $7,079.46 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4,168.69 Median $6,025.60 Typical High $7,762.47 | Professional | TC · Technical part | $4,168.69 | $6,025.60 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $7,943.28 Typical High $10,964.78 | Facility | None | $5,623.41 | $7,943.28 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $4,677.35 Typical High $5,888.44 | Professional | None | $3,235.94 | $4,677.35 | $5,888.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $4,466.84 Typical High $6,456.54 | Professional | None (both parts) | $3,630.78 | $4,466.84 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,137.96 Typical High $7,762.47 | Professional | None (both parts) | $1,513.56 | $2,137.96 | $7,762.47 |
2 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 $1,202.26 Median $1,412.54 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,202.26 | $1,412.54 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $562.34 Typical High $691.83 | Professional | 53 · Discontinued | $478.63 | $562.34 | $691.83 |
Where Georgia sits
The same service costs 8.9 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· 26th of 51
$3,236
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.