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 $776.25 Median $776.25 Typical High $2,041.74 | Facility | None | $776.25 | $776.25 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,122.02 | Professional | None | $776.25 | $912.01 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $1,548.82 | Facility | None | $758.58 | $1,288.25 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $1,148.15 Typical High $2,454.71 | Professional | None | $229.09 | $1,148.15 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $2,344.23 Typical High $3,548.13 | Facility | None | $69.18 | $2,344.23 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,905.46 Typical High $4,570.88 | Professional | None | $588.84 | $1,905.46 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,071.52 | $1,819.70 | $3,388.44 |
Oscar Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,202.26 | $1,479.11 | $2,137.96 |
United Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $2,570.40 | Professional | None | $501.19 | $691.83 | $2,570.40 |
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 $389.05 Median $457.09 Typical High $562.34 | Professional | 52 · Reduced service | $389.05 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $181.97 Typical High $223.87 | Professional | 53 · Discontinued | $154.88 | $181.97 | $223.87 |
Where Georgia sits
The same service costs 5.4 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· 20th of 51
$1,148
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.