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 $1,949.84 Median $1,949.84 Typical High $5,128.61 | Facility | None | $1,949.84 | $1,949.84 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,949.84 | $2,238.72 | $2,818.38 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $6,025.60 Typical High $6,025.60 | Professional | None | $977.24 | $6,025.60 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $3,715.35 Typical High $10,715.19 | Facility | None | $2,238.72 | $3,715.35 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $5,754.40 | Professional | None | $741.31 | $1,174.90 | $5,754.40 |
CareSource Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
CareSource Setting Professional Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $3,981.07 | Professional | None | $1,905.46 | $2,951.21 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $5,888.44 Typical High $8,912.51 | Facility | None | $1,778.28 | $5,888.44 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $3,890.45 Typical High $11,481.54 | Professional | None | $1,445.44 | $3,890.45 | $11,481.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $5,495.41 | Professional | None | $2,951.21 | $3,801.89 | $5,495.41 |
Oscar Health Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $5,128.61 | Professional | None | $2,951.21 | $3,630.78 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $6,165.95 | Professional | None | $1,230.27 | $1,737.80 | $6,165.95 |
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 $977.24 Median $1,122.02 Typical High $1,412.54 | Professional | 52 · Reduced service | $977.24 | $1,122.02 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $446.68 Typical High $562.34 | Professional | 53 · Discontinued | $389.05 | $446.68 | $562.34 |
Where Georgia sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 48th of 51
$1,738
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.