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 $1,778.28 Median $1,778.28 Typical High $4,677.35 | Facility | None | $1,778.28 | $1,778.28 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,905.46 Typical High $2,570.40 | Professional | None (both parts) | $1,778.28 | $1,905.46 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $2,344.23 Typical High $3,548.13 | Facility | None | $537.03 | $2,344.23 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $1,412.54 Typical High $2,630.27 | Professional | None (both parts) | $131.83 | $1,412.54 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $5,888.44 Typical High $8,128.31 | Facility | None | $4,168.69 | $5,888.44 | $8,128.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,715.35 | Professional | None | $2,398.83 | $3,019.95 | $3,715.35 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $3,548.13 Typical High $4,677.35 | Professional | None (both parts) | $2,630.27 | $3,548.13 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $5,623.41 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $5,623.41 |
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 $891.25 Median $1,023.29 Typical High $1,258.93 | Professional | 52 · Reduced service | $891.25 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $416.87 Typical High $512.86 | Professional | 53 · Discontinued | $354.81 | $416.87 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2,630.27 Median $4,786.30 Typical High $6,456.54 | Professional | TC · Technical part | $2,630.27 | $4,786.30 | $6,456.54 |
Where Georgia sits
The same service costs 31.6 times more in Texas than in Ohio. 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· 38th of 51
$1,778
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.