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 $1,412.54 Median $1,412.54 Typical High $3,801.89 | Facility | None | $1,412.54 | $1,412.54 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,412.54 | $1,659.59 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $7,943.28 | Facility | None | $1,659.59 | $2,691.53 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $4,265.80 | Professional | None | $537.03 | $851.14 | $4,265.80 |
CareSource Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $4,265.80 Typical High $6,456.54 | Facility | None | $389.05 | $4,265.80 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $2,884.03 Typical High $8,511.38 | Professional | None | $1,023.29 | $2,884.03 | $8,511.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $4,073.80 | Professional | None | $2,137.96 | $2,818.38 | $4,073.80 |
Oscar Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $3,801.89 | Professional | None | $2,137.96 | $2,630.27 | $3,801.89 |
United Setting Professional Modifier None Typical Low $288.40 Median $1,174.90 Typical High $4,466.84 | Professional | None | $288.40 | $1,174.90 | $4,466.84 |
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 $707.95 Median $812.83 Typical High $1,023.29 | Professional | 52 · Reduced service | $707.95 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $323.59 Typical High $407.38 | Professional | 53 · Discontinued | $281.84 | $323.59 | $407.38 |
Where Georgia sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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· 49th of 51
$955
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.