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 $1,047.13 | Facility | None | $389.05 | $389.05 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $776.25 | Professional | None | $389.05 | $467.74 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $4,466.84 | Facility | None | $457.09 | $794.33 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $2,187.76 | Professional | None | $181.97 | $288.40 | $2,187.76 |
CareSource Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,288.25 Typical High $1,778.28 | Facility | None | $524.81 | $1,288.25 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $954.99 Typical High $3,090.30 | Professional | None | $295.12 | $954.99 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,819.70 Typical High $2,454.71 | Professional | None | $660.69 | $1,819.70 | $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 $354.81 Median $457.09 Typical High $1,778.28 | Professional | None | $354.81 | $457.09 | $1,778.28 |
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 4.0 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
$389
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.