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 $562.34 Median $562.34 Typical High $1,479.11 | Facility | None | $562.34 | $562.34 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $812.83 | Professional | None | $562.34 | $616.60 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $1,047.13 Typical High $3,090.30 | Facility | None | $645.65 | $1,047.13 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $891.25 | Professional | None | $213.80 | $338.84 | $891.25 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,659.59 Typical High $2,570.40 | Facility | None | $380.19 | $1,659.59 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $1,202.26 Typical High $3,311.31 | Professional | None | $416.87 | $1,202.26 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,584.89 | Professional | None | $831.76 | $1,096.48 | $1,584.89 |
Oscar Health Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,479.11 | Professional | None | $831.76 | $1,023.29 | $1,479.11 |
United Setting Professional Modifier None Typical Low $281.84 Median $501.19 Typical High $1,778.28 | Professional | None | $281.84 | $501.19 | $1,778.28 |
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 $281.84 Median $316.23 Typical High $407.38 | Professional | 52 · Reduced service | $281.84 | $316.23 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $128.82 Typical High $162.18 | Professional | 53 · Discontinued | $112.20 | $128.82 | $162.18 |
Where Georgia sits
The same service costs 5.4 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
$355
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.