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 $134.90 Median $134.90 Typical High $363.08 | Facility | None | $134.90 | $134.90 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $194.98 | Professional | None | $134.90 | $158.49 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $707.95 | Facility | None | $162.18 | $229.09 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $239.88 Typical High $398.11 | Professional | None | $51.29 | $239.88 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $616.60 | Facility | None | $125.89 | $398.11 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $309.03 Typical High $794.33 | Professional | None | $100.00 | $309.03 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $380.19 | Professional | None | $204.17 | $281.84 | $380.19 |
Oscar Health Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $363.08 | Professional | None | $204.17 | $251.19 | $363.08 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $436.52 | Professional | None | $85.11 | $120.23 | $436.52 |
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 $67.61 Median $79.43 Typical High $97.72 | Professional | 52 · Reduced service | $67.61 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $38.90 | Professional | 53 · Discontinued | $26.92 | $31.62 | $38.90 |
Where Georgia sits
The same service costs 3.5 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· 15th of 51
$229
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.