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 $162.18 Median $162.18 Typical High $426.58 | Facility | None | $162.18 | $162.18 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $234.42 | Professional | None | $162.18 | $190.55 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $831.76 | Facility | None | $208.93 | $323.59 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $316.23 Typical High $549.54 | Professional | None | $75.86 | $316.23 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $478.63 Typical High $741.31 | Facility | None | $213.80 | $478.63 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $288.40 Typical High $954.99 | Professional | None | $123.03 | $288.40 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $457.09 | Professional | None | $239.88 | $331.13 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $426.58 | Professional | None | $239.88 | $295.12 | $426.58 |
United Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $512.86 | Professional | None | $138.04 | $199.53 | $512.86 |
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 $81.28 Median $93.33 Typical High $114.82 | Professional | 52 · Reduced service | $81.28 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.02 Typical High $46.77 | Professional | 53 · Discontinued | $32.36 | $38.02 | $46.77 |
Where Georgia sits
The same service costs 4.3 times more in Texas 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· 11th of 51
$302
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.