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 $524.81 Median $524.81 Typical High $1,412.54 | Facility | None | $524.81 | $524.81 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $758.58 | Professional | None | $524.81 | $616.60 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $2,951.21 | Facility | None | $645.65 | $1,071.52 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $512.86 Typical High $794.33 | Professional | None | $316.23 | $512.86 | $794.33 |
CareSource Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $1,584.89 Typical High $2,398.83 | Facility | None | $69.18 | $1,584.89 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $1,071.52 Typical High $3,162.28 | Professional | None | $398.11 | $1,071.52 | $3,162.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,513.56 | Professional | None | $794.33 | $1,023.29 | $1,513.56 |
Oscar Health Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,412.54 | Professional | None | $794.33 | $977.24 | $1,412.54 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $1,659.59 | Professional | None | $331.13 | $478.63 | $1,659.59 |
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 $263.03 Median $309.03 Typical High $380.19 | Professional | 52 · Reduced service | $263.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $104.71 | $123.03 | $151.36 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 29th of 51
$646
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.