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 $309.03 Median $309.03 Typical High $831.76 | Facility | None | $309.03 | $309.03 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $446.68 | Professional | None | $309.03 | $338.84 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $1,621.81 | Facility | None | $371.54 | $537.03 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $588.84 Typical High $933.25 | Professional | None | $117.49 | $588.84 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $1,412.54 | Facility | None | $467.74 | $933.25 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $478.63 Typical High $1,819.70 | Professional | None | $213.80 | $478.63 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $891.25 | Professional | None | $467.74 | $645.65 | $891.25 |
Oscar Health Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $831.76 | Professional | None | $467.74 | $575.44 | $831.76 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $1,000.00 | Professional | None | $194.98 | $281.84 | $1,000.00 |
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 $154.88 Median $181.97 Typical High $223.87 | Professional | 52 · Reduced service | $154.88 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $72.44 Typical High $89.13 | Professional | 53 · Discontinued | $61.66 | $72.44 | $89.13 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 15th of 51
$525
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.