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 $724.44 | Facility | None | $269.15 | $269.15 | $724.44 |
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 $302.00 Median $446.68 Typical High $1,412.54 | Facility | None | $302.00 | $446.68 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $380.19 Typical High $794.33 | Professional | None | $102.33 | $380.19 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $794.33 Typical High $1,230.27 | Facility | None | $194.98 | $794.33 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $537.03 Typical High $1,584.89 | Professional | None | $186.21 | $537.03 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $758.58 | Professional | None | $407.38 | $562.34 | $758.58 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $724.44 | Professional | None | $407.38 | $501.19 | $724.44 |
United Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $870.96 | Professional | None | $144.54 | $239.88 | $870.96 |
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 5.2 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· 28th of 51
$380
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.