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 $389.05 Median $389.05 Typical High $549.54 | Facility | None | $389.05 | $389.05 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $562.34 | Professional | None | $389.05 | $457.09 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $2,041.74 | Facility | None | $501.19 | $776.25 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $331.13 Typical High $1,174.90 | Professional | None | $181.97 | $331.13 | $1,174.90 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $1,778.28 | Facility | None | $524.81 | $1,174.90 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $707.95 Typical High $2,290.87 | Professional | None | $295.12 | $707.95 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,122.02 | Professional | None | $588.84 | $812.83 | $1,122.02 |
Oscar Health Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,047.13 | Professional | None | $588.84 | $724.44 | $1,047.13 |
United Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $1,230.27 | Professional | None | $263.03 | $478.63 | $1,230.27 |
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 $194.98 Median $229.09 Typical High $281.84 | Professional | 52 · Reduced service | $194.98 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | 53 · Discontinued | $77.62 | $91.20 | $112.20 |
Where Georgia sits
The same service costs 3.2 times more in Alaska 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· 34th of 51
$525
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.