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 $173.78 Median $173.78 Typical High $467.74 | Facility | None | $173.78 | $173.78 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $173.78 | $204.17 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $354.81 | Facility | None | $147.91 | $234.42 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $36.31 | $223.87 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $562.34 | Professional | TC · Technical part | $302.00 | $436.52 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $794.33 | Facility | None | $407.38 | $575.44 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $426.58 | Professional | None | $234.42 | $338.84 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $263.03 | $323.59 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $562.34 | Professional | None (both parts) | $109.65 | $154.88 | $562.34 |
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 $87.10 Median $102.33 Typical High $125.89 | Professional | 52 · Reduced service | $87.10 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $40.74 Typical High $50.12 | Professional | 53 · Discontinued | $34.67 | $40.74 | $50.12 |
Where Georgia sits
The same service costs 5.4 times more in Alaska 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· 28th of 51
$224
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.