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 $501.19 Median $501.19 Typical High $1,318.26 | Facility | None | $501.19 | $501.19 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $501.19 | $588.84 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $1,000.00 | Facility | None | $478.63 | $794.33 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $380.19 Typical High $758.58 | Professional | None (both parts) | $213.80 | $380.19 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,290.87 | Facility | None | $1,174.90 | $1,659.59 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $912.01 Typical High $1,148.15 | Professional | None (both parts) | $870.96 | $912.01 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | None | $831.76 | $831.76 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $1,584.89 | Professional | None (both parts) | $316.23 | $446.68 | $1,584.89 |
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 $251.19 Median $295.12 Typical High $363.08 | Professional | 52 · Reduced service | $251.19 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $117.49 Typical High $144.54 | Professional | 53 · Discontinued | $100.00 | $117.49 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $954.99 Typical High $1,621.81 | Professional | TC · Technical part | $741.31 | $954.99 | $1,621.81 |
Where Georgia sits
The same service costs 26.9 times more in Alaska 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· 39th of 51
$501
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.