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 $602.56 Median $602.56 Typical High $1,584.89 | Facility | None | $602.56 | $602.56 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $870.96 | Professional | None | $602.56 | $707.95 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $3,311.31 | Facility | None | $691.83 | $1,122.02 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $891.25 Typical High $2,041.74 | Professional | None | $229.09 | $891.25 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,737.80 Typical High $2,754.23 | Facility | None | $398.11 | $1,737.80 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $1,479.11 Typical High $3,548.13 | Professional | None | $446.68 | $1,479.11 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,698.24 | Professional | None | $812.83 | $1,174.90 | $1,698.24 |
Oscar Health Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,584.89 | Professional | None | $891.25 | $1,096.48 | $1,584.89 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,905.46 | Professional | None | $380.19 | $537.03 | $1,905.46 |
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 $302.00 Median $354.81 Typical High $436.52 | Professional | 52 · Reduced service | $302.00 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | 53 · Discontinued | $120.23 | $141.25 | $173.78 |
Where Georgia sits
The same service costs 5.1 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· 23rd of 51
$891
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.