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 $1,905.46 Median $1,905.46 Typical High $5,128.61 | Facility | None | $1,905.46 | $1,905.46 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,754.23 | Professional | None | $1,905.46 | $2,238.72 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $3,630.78 Typical High $10,471.29 | Facility | None | $2,238.72 | $3,630.78 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $1,148.15 Typical High $3,548.13 | Professional | None | $724.44 | $1,148.15 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $5,754.40 Typical High $8,709.64 | Facility | None | $1,380.38 | $5,754.40 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $4,365.16 Typical High $11,220.18 | Professional | None | $1,445.44 | $4,365.16 | $11,220.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $3,715.35 Typical High $5,495.41 | Professional | None | $2,570.40 | $3,715.35 | $5,495.41 |
Oscar Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $5,128.61 | Professional | None | $2,884.03 | $3,548.13 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $6,165.95 | Professional | None | $1,023.29 | $1,737.80 | $6,165.95 |
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 $954.99 Median $1,122.02 Typical High $1,380.38 | Professional | 52 · Reduced service | $954.99 | $1,122.02 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $446.68 Typical High $549.54 | Professional | 53 · Discontinued | $380.19 | $446.68 | $549.54 |
Where Georgia sits
The same service costs 5.4 times more in Alaska 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
$1,288
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.