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 $1,202.26 Median $1,202.26 Typical High $3,235.94 | Facility | None | $1,202.26 | $1,202.26 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,202.26 | $1,412.54 | $1,737.80 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $6,309.57 | Facility | None | $1,584.89 | $2,454.71 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $2,398.83 Typical High $4,168.69 | Professional | None | $562.34 | $2,398.83 | $4,168.69 |
CareSource Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $2,454.71 | Professional | None | $2,187.76 | $2,398.83 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $3,630.78 Typical High $5,495.41 | Facility | None | $1,621.81 | $3,630.78 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $2,137.96 Typical High $7,244.36 | Professional | None | $933.25 | $2,137.96 | $7,244.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,511.89 | $3,467.37 |
Oscar Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $3,235.94 | Professional | None | $1,819.70 | $2,238.72 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $3,890.45 | Professional | None | $1,047.13 | $1,479.11 | $3,890.45 |
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 $602.56 Median $707.95 Typical High $870.96 | Professional | 52 · Reduced service | $602.56 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $281.84 Typical High $346.74 | Professional | 53 · Discontinued | $245.47 | $281.84 | $346.74 |
Where Georgia sits
The same service costs 4.3 times more in Alaska 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· 13th of 51
$2,291
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.