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 $295.12 Median $295.12 Typical High $776.25 | Facility | None | $295.12 | $295.12 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $416.87 | Professional | None | $295.12 | $338.84 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $588.84 Typical High $4,786.30 | Facility | None | $338.84 | $588.84 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $2,187.76 | Professional | None | $138.04 | $218.78 | $2,187.76 |
CareSource Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $954.99 Typical High $1,348.96 | Facility | None | $389.05 | $954.99 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $724.44 Typical High $3,090.30 | Professional | None | $223.87 | $724.44 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $1,698.24 Typical High $2,454.71 | Professional | None | $489.78 | $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 $251.19 Median $363.08 Typical High $1,659.59 | Professional | None | $251.19 | $363.08 | $1,659.59 |
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 $144.54 Median $169.82 Typical High $208.93 | Professional | 52 · Reduced service | $144.54 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $69.18 Typical High $85.11 | Professional | 53 · Discontinued | $58.88 | $69.18 | $85.11 |
Where Georgia sits
The same service costs 5.2 times more in North Dakota 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
$288
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.