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 $295.12 Median $295.12 Typical High $776.25 | Facility | None | $295.12 | $295.12 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | None | $295.12 | $346.74 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $478.63 Typical High $1,513.56 | Facility | None | $177.83 | $478.63 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $870.96 | Professional | None | $109.65 | $218.78 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $851.14 Typical High $1,348.96 | Facility | None | $114.82 | $851.14 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $588.84 Typical High $1,737.80 | Professional | None | $199.53 | $588.84 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $831.76 | Professional | None | $436.52 | $602.56 | $831.76 |
Oscar Health Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $776.25 | Professional | None | $436.52 | $537.03 | $776.25 |
United Setting Professional Modifier None Typical Low $85.11 Median $263.03 Typical High $933.25 | Professional | None | $85.11 | $263.03 | $933.25 |
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 $147.91 Median $169.82 Typical High $208.93 | Professional | 52 · Reduced service | $147.91 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $69.18 Typical High $85.11 | Professional | 53 · Discontinued | $58.88 | $69.18 | $85.11 |
Where Georgia sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 43rd of 51
$263
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.