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 $398.11 Median $398.11 Typical High $1,071.52 | Facility | None | $398.11 | $398.11 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $575.44 | Professional | None | $398.11 | $446.68 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $758.58 Typical High $2,187.76 | Facility | None | $457.09 | $758.58 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $1,202.26 | Professional | None | $151.36 | $239.88 | $1,202.26 |
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 $389.05 Median $1,202.26 Typical High $1,819.70 | Facility | None | $389.05 | $1,202.26 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $870.96 Typical High $2,344.23 | Professional | None | $295.12 | $870.96 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,148.15 | Professional | None | $602.56 | $776.25 | $1,148.15 |
Oscar Health Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,071.52 | Professional | None | $602.56 | $741.31 | $1,071.52 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $1,258.93 | Professional | None | $251.19 | $363.08 | $1,258.93 |
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 $199.53 Median $229.09 Typical High $288.40 | Professional | 52 · Reduced service | $199.53 | $229.09 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $114.82 | Professional | 53 · Discontinued | $79.43 | $91.20 | $114.82 |
Where Georgia sits
The same service costs 3.8 times more in Alaska 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
$355
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.