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 $426.58 Median $426.58 Typical High $1,148.15 | Facility | None | $426.58 | $426.58 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $616.60 | Professional | None | $426.58 | $501.19 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $707.95 Typical High $2,238.72 | Facility | None | $288.40 | $707.95 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $363.08 Typical High $1,288.25 | Professional | None | $162.18 | $363.08 | $1,288.25 |
CareSource Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $870.96 | Professional | None | $776.25 | $831.76 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $1,258.93 Typical High $1,949.84 | Facility | None | $186.21 | $1,258.93 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $870.96 Typical High $2,511.89 | Professional | None | $295.12 | $870.96 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,230.27 | Professional | None | $645.65 | $891.25 | $1,230.27 |
Oscar Health Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,148.15 | Professional | None | $645.65 | $794.33 | $1,148.15 |
United Setting Professional Modifier None Typical Low $138.04 Median $389.05 Typical High $1,380.38 | Professional | None | $138.04 | $389.05 | $1,380.38 |
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 $213.80 Median $251.19 Typical High $309.03 | Professional | 52 · Reduced service | $213.80 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | 53 · Discontinued | $85.11 | $100.00 | $123.03 |
Where Georgia sits
The same service costs 5.0 times more in Alaska than in North Carolina. 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· 47th of 51
$417
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.