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 $1,698.24 Median $1,698.24 Typical High $4,570.88 | Facility | None | $1,698.24 | $1,698.24 | $4,570.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,819.70 Typical High $2,454.71 | Professional | None (both parts) | $1,698.24 | $1,819.70 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $2,290.87 Typical High $3,467.37 | Facility | None | $87.10 | $2,290.87 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.89 Median $2,187.76 Typical High $5,128.61 | Professional | None (both parts) | $20.89 | $2,187.76 | $5,128.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2,951.21 Median $4,265.80 Typical High $5,495.41 | Professional | TC · Technical part | $2,951.21 | $4,265.80 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $7,762.47 | Facility | None | $4,073.80 | $5,623.41 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $4,265.80 | Professional | None | $2,290.87 | $3,311.31 | $4,265.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $3,162.28 Typical High $4,570.88 | Professional | None (both parts) | $2,570.40 | $3,162.28 | $4,570.88 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $5,495.41 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $5,495.41 |
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 $851.14 Median $1,000.00 Typical High $1,230.27 | Professional | 52 · Reduced service | $851.14 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $398.11 Typical High $489.78 | Professional | 53 · Discontinued | $338.84 | $398.11 | $489.78 |
Where Georgia sits
The same service costs 204.2 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· 27th of 51
$2,188
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.