How much rates vary
Facilitymedian $912 · 10th to 90th $501 to $5,248Professionalmedian $2,884 · 10th to 90th $2,089 to $4,898
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 $2,089.30 Median $2,089.30 Typical High $2,630.27 | Facility | None | $2,089.30 | $2,089.30 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $4,677.35 | Professional | None | $2,089.30 | $2,398.83 | $4,677.35 |
Ambetter Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $4,897.79 | Professional | None | $2,137.96 | $2,884.03 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $4,265.80 | Facility | None | $501.19 | $741.31 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $5,495.41 | Professional | None | $2,187.76 | $2,754.23 | $5,495.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $2,691.53 Typical High $4,365.16 | Professional | None | $2,238.72 | $2,691.53 | $4,365.16 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $6,456.54 | Professional | None | $2,089.30 | $2,884.03 | $6,456.54 |
3 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 $1,047.13 Median $1,047.13 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | 53 · Discontinued | $416.87 | $416.87 | $489.78 |
Anthem BCBS Setting Professional Modifier 22 · Increased work Typical Low $4,073.80 Median $5,128.61 Typical High $5,128.61 | Professional | 22 · Increased work | $4,073.80 | $5,128.61 | $5,128.61 |
Where Georgia sits
The same service costs 4.3 times more in Alaska than in Arkansas. 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.
Physician feeFacility fee
AK $12,394AR $2,907
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.