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 $162.18 Median $162.18 Typical High $436.52 | Facility | None | $162.18 | $162.18 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $234.42 | Professional | None | $162.18 | $181.97 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $851.14 | Facility | None | $194.98 | $281.84 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $309.03 Typical High $489.78 | Professional | None | $61.66 | $309.03 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $478.63 Typical High $741.31 | Facility | None | $162.18 | $478.63 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $380.19 Typical High $977.24 | Professional | None | $123.03 | $380.19 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $467.74 | Professional | None | $245.47 | $338.84 | $467.74 |
Oscar Health Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $436.52 | Professional | None | $245.47 | $302.00 | $436.52 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $524.81 | Professional | None | $104.71 | $147.91 | $524.81 |
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 $81.28 Median $95.50 Typical High $117.49 | Professional | 52 · Reduced service | $81.28 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $47.86 | Professional | 53 · Discontinued | $33.11 | $38.90 | $47.86 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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· 11th of 51
$282
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.