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 $933.25 Median $933.25 Typical High $1,778.28 | Facility | None | $933.25 | $933.25 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $933.25 Typical High $933.25 | Professional | None | $194.98 | $933.25 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $758.58 Typical High $1,318.26 | Facility | None | $64.57 | $758.58 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $776.25 Typical High $1,258.93 | Professional | None | $371.54 | $776.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $52.48 Typical High $69.18 | Professional | None | $31.62 | $52.48 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $104.71 | Professional | None | $45.71 | $60.26 | $104.71 |
United Setting Professional Modifier None Typical Low $77.62 Median $1,096.48 Typical High $1,819.70 | Professional | None | $77.62 | $1,096.48 | $1,819.70 |
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 $97.72 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $97.72 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $123.03 | $186.21 | $186.21 |
Where Georgia sits
The same service costs 120.2 times more in North Carolina than in New York. 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· 23rd of 51
$933
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.