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 $138.04 Median $138.04 Typical High $371.54 | Facility | None | $138.04 | $138.04 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $199.53 | Professional | None | $138.04 | $162.18 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $724.44 | Facility | None | $181.97 | $257.04 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $208.93 Typical High $416.87 | Professional | None | $52.48 | $208.93 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $416.87 Typical High $630.96 | Facility | None | $208.93 | $416.87 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $812.83 | Professional | None | $97.72 | $208.93 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $398.11 | Professional | None | $208.93 | $288.40 | $398.11 |
Oscar Health Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $371.54 | Professional | None | $208.93 | $257.04 | $371.54 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $446.68 | Professional | None | $87.10 | $123.03 | $446.68 |
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 $69.18 Median $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $69.18 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $39.81 | Professional | 53 · Discontinued | $27.54 | $32.36 | $39.81 |
Where Georgia sits
The same service costs 4.3 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· 27th of 51
$209
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.