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 $891.25 Median $891.25 Typical High $2,398.83 | Facility | None | $891.25 | $891.25 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $954.99 Typical High $1,288.25 | Professional | None (both parts) | $891.25 | $954.99 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $1,819.70 | Facility | None | $851.14 | $1,479.11 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,348.96 Typical High $2,630.27 | Professional | None (both parts) | $436.52 | $1,348.96 | $2,630.27 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $2,238.72 Typical High $2,884.03 | Professional | TC · Technical part | $1,548.82 | $2,238.72 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,951.21 Typical High $4,073.80 | Facility | None | $2,089.30 | $2,951.21 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,737.80 | $2,187.76 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,659.59 Typical High $2,398.83 | Professional | None (both parts) | $1,348.96 | $1,659.59 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $2,884.03 | Professional | None (both parts) | $562.34 | $794.33 | $2,884.03 |
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 $446.68 Median $524.81 Typical High $645.65 | Professional | 52 · Reduced service | $446.68 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $208.93 Typical High $257.04 | Professional | 53 · Discontinued | $177.83 | $208.93 | $257.04 |
Where Georgia sits
The same service costs 104.7 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· 24th of 51
$1,230
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.