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 $223.87 Median $223.87 Typical High $602.56 | Facility | None | $223.87 | $223.87 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $323.59 | Professional | None | $223.87 | $263.03 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $371.54 Typical High $1,174.90 | Facility | None | $131.83 | $371.54 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $676.08 | Professional | None | $85.11 | $162.18 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $660.69 Typical High $1,023.29 | Facility | None | $85.11 | $660.69 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $457.09 Typical High $1,318.26 | Professional | None | $154.88 | $457.09 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $645.65 | Professional | None | $338.84 | $467.74 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $602.56 | Professional | None | $338.84 | $416.87 | $602.56 |
United Setting Professional Modifier None Typical Low $61.66 Median $204.17 Typical High $724.44 | Professional | None | $61.66 | $204.17 | $724.44 |
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 $112.20 Median $131.83 Typical High $162.18 | Professional | 52 · Reduced service | $112.20 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $52.48 Typical High $64.57 | Professional | 53 · Discontinued | $44.67 | $52.48 | $64.57 |
Where Georgia sits
The same service costs 6.6 times more in Texas than in Kentucky. 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· 43rd of 51
$204
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.