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 $446.68 Median $446.68 Typical High $1,202.26 | Facility | None | $446.68 | $446.68 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $776.25 | Professional | None | $446.68 | $524.81 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $4,786.30 | Facility | None | $524.81 | $912.01 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $2,290.87 | Professional | None | $208.93 | $338.84 | $2,290.87 |
CareSource Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
CareSource Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,778.28 | Professional | None | $851.14 | $1,318.26 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $1,479.11 Typical High $2,041.74 | Facility | None | $363.08 | $1,479.11 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $1,122.02 Typical High $3,090.30 | Professional | None | $346.74 | $1,122.02 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,698.24 Typical High $2,454.71 | Professional | None | $758.58 | $1,698.24 | $2,454.71 |
Oscar Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,318.26 | $1,621.81 | $2,290.87 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,949.84 | Professional | None | $389.05 | $562.34 | $1,949.84 |
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 $223.87 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $223.87 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $107.15 Typical High $131.83 | Professional | 53 · Discontinued | $91.20 | $107.15 | $131.83 |
Where Georgia sits
The same service costs 3.5 times more in Wisconsin than in Georgia. 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· 51st of 51
$447
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.