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 $851.14 Median $851.14 Typical High $2,290.87 | Facility | None | $851.14 | $851.14 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,230.27 | Professional | None | $851.14 | $1,000.00 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $4,677.35 | Facility | None | $1,000.00 | $1,621.81 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $2,570.40 | Professional | None | $323.59 | $512.86 | $2,570.40 |
CareSource Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $3,890.45 | Facility | None | $1,288.25 | $2,570.40 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,737.80 Typical High $5,011.87 | Professional | None | $645.65 | $1,737.80 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,288.25 | $1,659.59 | $2,454.71 |
Oscar Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,290.87 | Professional | None | $1,288.25 | $1,584.89 | $2,290.87 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $2,691.53 | Professional | None | $537.03 | $776.25 | $2,691.53 |
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 $426.58 Median $501.19 Typical High $616.60 | Professional | 52 · Reduced service | $426.58 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $199.53 Typical High $245.47 | Professional | 53 · Discontinued | $169.82 | $199.53 | $245.47 |
Where Georgia sits
The same service costs 4.9 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· 50th of 51
$776
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.