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 $194.98 Median $194.98 Typical High $512.86 | Facility | None | $194.98 | $194.98 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $281.84 | Professional | None | $194.98 | $213.80 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $331.13 Typical High $1,000.00 | Facility | None | $234.42 | $331.13 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $363.08 Typical High $588.84 | Professional | None | $74.13 | $363.08 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $575.44 Typical High $891.25 | Facility | None | $288.40 | $575.44 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $295.12 Typical High $1,148.15 | Professional | None | $134.90 | $295.12 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $549.54 | Professional | None | $288.40 | $398.11 | $549.54 |
Oscar Health Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $512.86 | Professional | None | $288.40 | $354.81 | $512.86 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $616.60 | Professional | None | $123.03 | $173.78 | $616.60 |
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 $97.72 Median $114.82 Typical High $141.25 | Professional | 52 · Reduced service | $97.72 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $38.90 | $45.71 | $56.23 |
Where Georgia sits
The same service costs 4.5 times more in Texas than in Delaware. 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· 15th of 51
$324
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.