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 $107.15 Median $3,548.13 Typical High $7,585.78 | Facility | None | $107.15 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $281.84 | Professional | None | $70.79 | $107.15 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $194.98 | Professional | None | $75.86 | $114.82 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $97.72 | Facility | None | $64.57 | $77.62 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $144.54 Typical High $257.04 | Professional | None | $81.28 | $144.54 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $134.90 Typical High $208.93 | Professional | None | $83.18 | $134.90 | $208.93 |
United Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $2,454.71 | Facility | None | $331.13 | $501.19 | $2,454.71 |
United Setting Professional Modifier None Typical Low $85.11 Median $154.88 Typical High $269.15 | Professional | None | $85.11 | $154.88 | $269.15 |
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 $35.48 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $35.48 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $14.13 | $19.50 | $22.39 |
Where Georgia sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 35th of 51
$126
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.