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 $234.42 Median $234.42 Typical High $616.60 | Facility | None | $234.42 | $234.42 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $331.13 | Professional | None | $234.42 | $269.15 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $407.38 Typical High $1,202.26 | Facility | None | $288.40 | $407.38 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $489.78 Typical High $741.31 | Professional | None | $89.13 | $489.78 | $741.31 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $467.74 | Professional | None | $416.87 | $457.09 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $691.83 Typical High $1,071.52 | Facility | None | $257.04 | $691.83 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $575.44 Typical High $1,380.38 | Professional | None | $173.78 | $575.44 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $660.69 | Professional | None | $346.74 | $478.63 | $660.69 |
Oscar Health Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $616.60 | Professional | None | $346.74 | $426.58 | $616.60 |
United Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $741.31 | Professional | None | $165.96 | $234.42 | $741.31 |
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 $114.82 Median $134.90 Typical High $165.96 | Professional | 52 · Reduced service | $114.82 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 53 · Discontinued | $46.77 | $54.95 | $67.61 |
Where Georgia sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 9th of 51
$427
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.