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 $181.97 Median $181.97 Typical High $489.78 | Facility | None | $181.97 | $181.97 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $263.03 | Professional | None | $181.97 | $213.80 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $954.99 | Facility | None | $218.78 | $309.03 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $346.74 Typical High $549.54 | Professional | None | $69.18 | $346.74 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $831.76 | Facility | None | $275.42 | $549.54 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $1,071.52 | Professional | None | $125.89 | $281.84 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $524.81 | Professional | None | $275.42 | $380.19 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $489.78 | Professional | None | $275.42 | $338.84 | $489.78 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $588.84 | Professional | None | $114.82 | $165.96 | $588.84 |
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 $91.20 Median $107.15 Typical High $131.83 | Professional | 52 · Reduced service | $91.20 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $42.66 Typical High $52.48 | Professional | 53 · Discontinued | $36.31 | $42.66 | $52.48 |
Where Georgia sits
The same service costs 3.7 times more in Alaska 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· 13th of 51
$309
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.