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 $2,089.30 Median $2,089.30 Typical High $5,495.41 | Facility | None | $2,089.30 | $2,089.30 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,454.71 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $11,481.54 | Facility | None | $2,398.83 | $3,890.45 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $3,890.45 | Professional | None | $776.25 | $1,258.93 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $6,165.95 Typical High $9,549.93 | Facility | None | $2,041.74 | $6,165.95 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $4,786.30 Typical High $12,302.69 | Professional | None | $1,548.82 | $4,786.30 | $12,302.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,818.38 Median $4,073.80 Typical High $5,888.44 | Professional | None | $2,818.38 | $4,073.80 | $5,888.44 |
Oscar Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $5,495.41 | Professional | None | $3,090.30 | $3,801.89 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $6,606.93 | Professional | None | $1,318.26 | $1,862.09 | $6,606.93 |
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 $1,047.13 Median $1,202.26 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,047.13 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $489.78 Typical High $602.56 | Professional | 53 · Discontinued | $416.87 | $489.78 | $602.56 |
Where Georgia sits
The same service costs 6.0 times more in Texas than in Alabama. 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· 50th of 51
$1,413
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.