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 $501.19 Median $501.19 Typical High $1,348.96 | Facility | None | $501.19 | $501.19 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,479.11 | Professional | None | $501.19 | $630.96 | $1,479.11 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $1,445.44 | Professional | None | $407.38 | $478.63 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $1,023.29 Typical High $2,754.23 | Facility | None | $645.65 | $1,023.29 | $2,754.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $645.65 Typical High $1,513.56 | Professional | None | $316.23 | $645.65 | $1,513.56 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
CareSource Setting Professional Modifier None Typical Low $489.78 Median $758.58 Typical High $1,023.29 | Professional | None | $489.78 | $758.58 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,513.56 Typical High $2,290.87 | Facility | None | $524.81 | $1,513.56 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $1,023.29 Typical High $2,951.21 | Professional | None | $380.19 | $1,023.29 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,445.44 | Professional | None | $758.58 | $977.24 | $1,445.44 |
Oscar Health Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,348.96 | Professional | None | $758.58 | $933.25 | $1,348.96 |
United Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $1,584.89 | Professional | None | $338.84 | $478.63 | $1,584.89 |
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 $251.19 Median $288.40 Typical High $363.08 | Professional | 52 · Reduced service | $251.19 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $114.82 Typical High $144.54 | Professional | 53 · Discontinued | $100.00 | $114.82 | $144.54 |
Where Georgia sits
The same service costs 3.4 times more in Alaska than in Maine. 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· 29th of 51
$646
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.