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 $251.19 Median $251.19 Typical High $660.69 | Facility | None | $251.19 | $251.19 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $363.08 | Professional | None | $251.19 | $295.12 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $416.87 Typical High $1,288.25 | Facility | None | $95.50 | $416.87 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $741.31 | Professional | None | $95.50 | $123.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $724.44 Typical High $1,148.15 | Facility | None | $69.18 | $724.44 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $501.19 Typical High $1,479.11 | Professional | None | $165.96 | $501.19 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $707.95 | Professional | None | $371.54 | $512.86 | $707.95 |
Oscar Health Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $660.69 | Professional | None | $371.54 | $457.09 | $660.69 |
United Setting Professional Modifier None Typical Low $44.67 Median $213.80 Typical High $794.33 | Professional | None | $44.67 | $213.80 | $794.33 |
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 $125.89 Median $147.91 Typical High $181.97 | Professional | 52 · Reduced service | $125.89 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $58.88 Typical High $72.44 | Professional | 53 · Discontinued | $50.12 | $58.88 | $72.44 |
Where Georgia sits
The same service costs 10.2 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· 46th of 51
$182
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.