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 $3,311.31 Median $3,311.31 Typical High $8,912.51 | Facility | None | $3,311.31 | $3,311.31 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,630.78 Typical High $4,786.30 | Professional | None (both parts) | $3,311.31 | $3,630.78 | $4,786.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $5,128.61 Typical High $6,760.83 | Facility | None | $3,162.28 | $5,128.61 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $2,238.72 Typical High $5,128.61 | Professional | None (both parts) | $1,258.93 | $2,238.72 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $7,943.28 Median $10,964.78 Typical High $15,135.61 | Facility | None | $7,943.28 | $10,964.78 | $15,135.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,466.84 Median $5,754.40 Typical High $7,079.46 | Professional | None | $4,466.84 | $5,754.40 | $7,079.46 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $6,760.83 Typical High $8,912.51 | Professional | None (both parts) | $5,011.87 | $6,760.83 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,019.95 Typical High $10,715.19 | Professional | None (both parts) | $2,089.30 | $3,019.95 | $10,715.19 |
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 $1,659.59 Median $1,949.84 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,659.59 | $1,949.84 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $776.25 Typical High $954.99 | Professional | 53 · Discontinued | $660.69 | $776.25 | $954.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4,897.79 Median $7,413.10 Typical High $12,302.69 | Professional | TC · Technical part | $4,897.79 | $7,413.10 | $12,302.69 |
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· 32nd of 51
$3,890
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.