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 $186.21 Median $186.21 Typical High $501.19 | Facility | None | $186.21 | $186.21 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $269.15 | Professional | None | $186.21 | $208.93 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $977.24 | Facility | None | $223.87 | $323.59 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $354.81 Typical High $562.34 | Professional | None | $70.79 | $354.81 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $851.14 | Facility | None | $281.84 | $562.34 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $288.40 Typical High $1,122.02 | Professional | None | $128.82 | $288.40 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $537.03 | Professional | None | $281.84 | $389.05 | $537.03 |
Oscar Health Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $501.19 | Professional | None | $281.84 | $346.74 | $501.19 |
United Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $602.56 | Professional | None | $117.49 | $169.82 | $602.56 |
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 $93.33 Median $109.65 Typical High $134.90 | Professional | 52 · Reduced service | $93.33 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $43.65 Typical High $53.70 | Professional | 53 · Discontinued | $38.02 | $43.65 | $53.70 |
Where Georgia sits
The same service costs 3.7 times more in Alaska 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· 13th of 51
$316
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.