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 $158.49 Median $158.49 Typical High $426.58 | Facility | None | $158.49 | $158.49 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $229.09 | Professional | None | $158.49 | $173.78 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $831.76 | Facility | None | $162.18 | $263.03 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $204.17 Typical High $478.63 | Professional | None | $60.26 | $204.17 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $467.74 Typical High $724.44 | Facility | None | $104.71 | $467.74 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $316.23 Typical High $933.25 | Professional | None | $109.65 | $316.23 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $457.09 | Professional | None | $239.88 | $331.13 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $426.58 | Professional | None | $239.88 | $295.12 | $426.58 |
United Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $512.86 | Professional | None | $77.62 | $141.25 | $512.86 |
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 $79.43 Median $93.33 Typical High $114.82 | Professional | 52 · Reduced service | $79.43 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $45.71 | Professional | 53 · Discontinued | $31.62 | $37.15 | $45.71 |
Where Georgia sits
The same service costs 3.8 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· 25th 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.