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 $602.56 Median $602.56 Typical High $1,621.81 | Facility | None | $602.56 | $602.56 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $870.96 | Professional | None | $602.56 | $707.95 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,122.02 Typical High $2,041.74 | Facility | None | $707.95 | $1,122.02 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,862.09 | Professional | None | $537.03 | $851.14 | $1,862.09 |
CareSource Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $2,754.23 | Facility | None | $912.01 | $1,819.70 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $1,380.38 Typical High $3,630.78 | Professional | None | $457.09 | $1,380.38 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,737.80 | Professional | None | $912.01 | $1,174.90 | $1,737.80 |
Oscar Health Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,621.81 | Professional | None | $912.01 | $1,122.02 | $1,621.81 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $1,905.46 | Professional | None | $380.19 | $549.54 | $1,905.46 |
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 $302.00 Median $354.81 Typical High $436.52 | Professional | 52 · Reduced service | $302.00 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | 53 · Discontinued | $120.23 | $141.25 | $173.78 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 26th of 51
$851
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.