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 $891.25 Median $891.25 Typical High $2,398.83 | Facility | None | $891.25 | $891.25 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,288.25 | Professional | None | $891.25 | $1,000.00 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $5,011.87 | Facility | None | $1,047.13 | $1,698.24 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $2,691.53 | Professional | None | $338.84 | $537.03 | $2,691.53 |
CareSource Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,691.53 Typical High $4,073.80 | Facility | None | $1,348.96 | $2,691.53 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,819.70 Typical High $5,370.32 | Professional | None | $676.08 | $1,819.70 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,348.96 | $1,737.80 | $2,570.40 |
Oscar Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,348.96 | $1,659.59 | $2,398.83 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $2,818.38 | Professional | None | $562.34 | $812.83 | $2,818.38 |
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 $446.68 Median $512.86 Typical High $645.65 | Professional | 52 · Reduced service | $446.68 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $204.17 Typical High $257.04 | Professional | 53 · Discontinued | $177.83 | $204.17 | $257.04 |
Where Georgia sits
The same service costs 5.1 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· 50th of 51
$776
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.