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 $346.74 Median $346.74 Typical High $933.25 | Facility | None | $346.74 | $346.74 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $501.19 | Professional | None | $346.74 | $407.38 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $1,905.46 | Facility | None | $398.11 | $660.69 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $645.65 | Professional | None | $131.83 | $208.93 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $1,047.13 Typical High $1,584.89 | Facility | None | $69.18 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $851.14 Typical High $2,041.74 | Professional | None | $257.04 | $851.14 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $977.24 | Professional | None | $467.74 | $676.08 | $977.24 |
Oscar Health Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $933.25 | Professional | None | $524.81 | $645.65 | $933.25 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $1,122.02 | Professional | None | $218.78 | $309.03 | $1,122.02 |
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 $173.78 Median $204.17 Typical High $251.19 | Professional | 52 · Reduced service | $173.78 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $81.28 Typical High $100.00 | Professional | 53 · Discontinued | $69.18 | $81.28 | $100.00 |
Where Georgia sits
The same service costs 8.1 times more in Texas 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
$234
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.