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 $3,467.37 Median $3,467.37 Typical High $9,332.54 | Facility | None | $3,467.37 | $3,467.37 | $9,332.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,630.78 Typical High $5,011.87 | Professional | None (both parts) | $3,467.37 | $3,630.78 | $5,011.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $4,677.35 Typical High $7,079.46 | Facility | None | $173.78 | $4,677.35 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $4,466.84 Typical High $10,232.93 | Professional | None (both parts) | $41.69 | $4,466.84 | $10,232.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $6,025.60 Median $8,709.64 Typical High $11,220.18 | Professional | TC · Technical part | $6,025.60 | $8,709.64 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $11,481.54 Typical High $15,848.93 | Facility | None | $8,128.31 | $11,481.54 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,677.35 Median $6,760.83 Typical High $8,709.64 | Professional | None | $4,677.35 | $6,760.83 | $8,709.64 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $6,456.54 Typical High $9,332.54 | Professional | None (both parts) | $5,248.07 | $6,456.54 | $9,332.54 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $3,162.28 Typical High $11,220.18 | Professional | None (both parts) | $2,187.76 | $3,162.28 | $11,220.18 |
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 $1,737.80 Median $2,041.74 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,737.80 | $2,041.74 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $812.83 Typical High $1,000.00 | Professional | 53 · Discontinued | $691.83 | $812.83 | $1,000.00 |
Where Georgia sits
The same service costs 416.9 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· 28th of 51
$4,467
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.