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 $269.15 Median $269.15 Typical High $707.95 | Facility | None | $269.15 | $269.15 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $389.05 | Professional | None | $269.15 | $316.23 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,380.38 | Facility | None | $346.74 | $537.03 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $616.60 Typical High $912.01 | Professional | None | $125.89 | $616.60 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $794.33 Typical High $1,230.27 | Facility | None | $354.81 | $794.33 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $660.69 Typical High $1,584.89 | Professional | None | $204.17 | $660.69 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $758.58 | Professional | None | $398.11 | $549.54 | $758.58 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $707.95 | Professional | None | $398.11 | $489.78 | $707.95 |
United Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $851.14 | Professional | None | $229.09 | $331.13 | $851.14 |
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 $134.90 Median $158.49 Typical High $194.98 | Professional | 52 · Reduced service | $134.90 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $53.70 | $63.10 | $77.62 |
Where Georgia sits
The same service costs 3.8 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· 10th of 51
$513
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.