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 $213.80 Median $213.80 Typical High $575.44 | Facility | None | $213.80 | $213.80 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $309.03 | Professional | None | $213.80 | $251.19 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $1,122.02 | Facility | None | $257.04 | $371.54 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $407.38 Typical High $645.65 | Professional | None | $81.28 | $407.38 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $977.24 | Facility | None | $323.59 | $645.65 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $389.05 Typical High $1,288.25 | Professional | None | $147.91 | $389.05 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $616.60 | Professional | None | $323.59 | $446.68 | $616.60 |
Oscar Health Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $575.44 | Professional | None | $323.59 | $398.11 | $575.44 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $691.83 | Professional | None | $134.90 | $194.98 | $691.83 |
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 $107.15 Median $125.89 Typical High $154.88 | Professional | 52 · Reduced service | $107.15 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $50.12 Typical High $61.66 | Professional | 53 · Discontinued | $43.65 | $50.12 | $61.66 |
Where Georgia sits
The same service costs 4.2 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· 13th of 51
$363
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.