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 $446.68 Median $446.68 Typical High $1,202.26 | Facility | None | $446.68 | $446.68 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $645.65 | Professional | None | $446.68 | $524.81 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $776.25 Typical High $2,344.23 | Facility | None | $537.03 | $776.25 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $851.14 Typical High $1,348.96 | Professional | None | $177.83 | $851.14 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,348.96 Typical High $2,041.74 | Facility | None | $676.08 | $1,348.96 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $851.14 Typical High $2,630.27 | Professional | None | $323.59 | $851.14 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,288.25 | Professional | None | $676.08 | $933.25 | $1,288.25 |
Oscar Health Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,202.26 | Professional | None | $676.08 | $831.76 | $1,202.26 |
United Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $1,445.44 | Professional | None | $295.12 | $426.58 | $1,445.44 |
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 $223.87 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $223.87 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $89.13 | $104.71 | $128.82 |
Where Georgia sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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· 11th of 51
$776
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.