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 $229.09 Median $229.09 Typical High $616.60 | Facility | None | $229.09 | $229.09 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $331.13 | Professional | None | $229.09 | $269.15 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $457.09 Typical High $1,202.26 | Facility | None | $295.12 | $457.09 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $575.44 Typical High $794.33 | Professional | None | $107.15 | $575.44 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $691.83 Typical High $1,047.13 | Facility | None | $309.03 | $691.83 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $575.44 Typical High $1,348.96 | Professional | None | $173.78 | $575.44 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $660.69 | Professional | None | $346.74 | $478.63 | $660.69 |
Oscar Health Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $616.60 | Professional | None | $346.74 | $426.58 | $616.60 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $741.31 | Professional | None | $194.98 | $281.84 | $741.31 |
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 $114.82 Median $134.90 Typical High $165.96 | Professional | 52 · Reduced service | $114.82 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $53.70 Typical High $66.07 | Professional | 53 · Discontinued | $45.71 | $53.70 | $66.07 |
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· 8th of 51
$457
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.