How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $489.78 Median $489.78 Typical High $933.25 | Facility | None | $489.78 | $489.78 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $467.74 Typical High $489.78 | Professional | None | $457.09 | $467.74 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $398.11 Typical High $501.19 | Professional | None | $66.07 | $398.11 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,479.11 | Professional | None | $501.19 | $630.96 | $1,479.11 |
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 $229.09 Median $234.42 Typical High $245.47 | Professional | 52 · Reduced service | $229.09 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $93.33 Typical High $97.72 | Professional | 53 · Discontinued | $91.20 | $93.33 | $97.72 |
Where Georgia sits
The same service costs 56.2 times more in Wisconsin 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· 31st of 51
$490
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.