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 $204.17 Median $204.17 Typical High $549.54 | Facility | None | $204.17 | $204.17 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $295.12 | Professional | None | $204.17 | $239.88 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $380.19 Typical High $1,071.52 | Facility | None | $269.15 | $380.19 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $309.03 Typical High $616.60 | Professional | None | $77.62 | $309.03 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $616.60 Typical High $933.25 | Facility | None | $309.03 | $616.60 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $1,202.26 | Professional | None | $147.91 | $316.23 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $588.84 | Professional | None | $309.03 | $426.58 | $588.84 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $549.54 | Professional | None | $309.03 | $380.19 | $549.54 |
United Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $660.69 | Professional | None | $128.82 | $186.21 | $660.69 |
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 $102.33 Median $120.23 Typical High $147.91 | Professional | 52 · Reduced service | $102.33 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $47.86 Typical High $58.88 | Professional | 53 · Discontinued | $40.74 | $47.86 | $58.88 |
Where Georgia sits
The same service costs 4.6 times more in Texas 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· 19th of 51
$309
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.