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 $218.78 Median $218.78 Typical High $588.84 | Facility | None | $218.78 | $218.78 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $316.23 | Professional | None | $218.78 | $257.04 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $407.38 Typical High $1,148.15 | Facility | None | $288.40 | $407.38 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $331.13 Typical High $660.69 | Professional | None | $83.18 | $331.13 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $660.69 Typical High $1,000.00 | Facility | None | $331.13 | $660.69 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $338.84 Typical High $1,288.25 | Professional | None | $154.88 | $338.84 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $630.96 | Professional | None | $331.13 | $457.09 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $588.84 | Professional | None | $331.13 | $407.38 | $588.84 |
United Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $707.95 | Professional | None | $138.04 | $199.53 | $707.95 |
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 $109.65 Median $128.82 Typical High $158.49 | Professional | 52 · Reduced service | $109.65 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $51.29 Typical High $63.10 | Professional | 53 · Discontinued | $43.65 | $51.29 | $63.10 |
Where Georgia sits
The same service costs 4.3 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· 26th of 51
$331
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.