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 $371.54 Median $371.54 Typical High $1,000.00 | Facility | None | $371.54 | $371.54 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $977.24 | Professional | None | $371.54 | $489.78 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $346.74 Median $1,071.52 Typical High $1,737.80 | Professional | None | $346.74 | $1,071.52 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $707.95 Typical High $2,041.74 | Facility | None | $426.58 | $707.95 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $562.34 Typical High $1,258.93 | Professional | None | $141.25 | $562.34 | $1,258.93 |
CareSource Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $758.58 | Professional | None | $660.69 | $724.44 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $1,096.48 Typical High $1,698.24 | Facility | None | $194.98 | $1,096.48 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $912.01 Typical High $2,187.76 | Professional | None | $275.42 | $912.01 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,047.13 | Professional | None | $501.19 | $724.44 | $1,047.13 |
Oscar Health Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $977.24 | Professional | None | $562.34 | $691.83 | $977.24 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $1,202.26 | Professional | None | $234.42 | $331.13 | $1,202.26 |
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 $186.21 Median $218.78 Typical High $269.15 | Professional | 52 · Reduced service | $186.21 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $87.10 Typical High $107.15 | Professional | 53 · Discontinued | $74.13 | $87.10 | $107.15 |
Where Georgia sits
The same service costs 4.6 times more in Kansas 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
$562
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.