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 $2,290.87 Median $2,290.87 Typical High $6,165.95 | Facility | None | $2,290.87 | $2,290.87 | $6,165.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,398.83 Typical High $3,311.31 | Professional | None (both parts) | $2,290.87 | $2,398.83 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $3,090.30 Typical High $4,677.35 | Facility | None | $851.14 | $3,090.30 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $346.74 Typical High $3,467.37 | Professional | None (both parts) | $204.17 | $346.74 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $7,585.78 Typical High $10,471.29 | Facility | None | $5,370.32 | $7,585.78 | $10,471.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $3,981.07 Typical High $4,786.30 | Professional | None | $3,090.30 | $3,981.07 | $4,786.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $4,570.88 Typical High $6,165.95 | Professional | None (both parts) | $3,467.37 | $4,570.88 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,041.74 Typical High $7,413.10 | Professional | None (both parts) | $1,445.44 | $2,041.74 | $7,413.10 |
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 $1,148.15 Median $1,348.96 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,148.15 | $1,348.96 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $537.03 Typical High $660.69 | Professional | 53 · Discontinued | $457.09 | $537.03 | $660.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3,388.44 Median $5,011.87 Typical High $8,317.64 | Professional | TC · Technical part | $3,388.44 | $5,011.87 | $8,317.64 |
Where Georgia sits
The same service costs 35.5 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· 37th of 51
$2,291
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.