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 $616.60 Median $616.60 Typical High $1,659.59 | Facility | None | $616.60 | $616.60 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $891.25 | Professional | None | $616.60 | $724.44 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $3,467.37 | Facility | None | $724.44 | $1,174.90 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $1,862.09 | Professional | None | $234.42 | $371.54 | $1,862.09 |
CareSource Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,862.09 Typical High $2,818.38 | Facility | None | $933.25 | $1,862.09 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $1,258.93 Typical High $3,715.35 | Professional | None | $467.74 | $1,258.93 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $1,778.28 | Professional | None | $933.25 | $1,230.27 | $1,778.28 |
Oscar Health Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,659.59 | Professional | None | $933.25 | $1,148.15 | $1,659.59 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,949.84 | Professional | None | $389.05 | $562.34 | $1,949.84 |
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 $309.03 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $309.03 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $144.54 Typical High $177.83 | Professional | 53 · Discontinued | $125.89 | $144.54 | $177.83 |
Where Georgia sits
The same service costs 3.7 times more in Alaska 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
$562
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.