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 $426.58 Median $426.58 Typical High $1,148.15 | Facility | None | $426.58 | $426.58 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $616.60 | Professional | None | $426.58 | $501.19 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $707.95 Typical High $870.96 | Facility | None | $416.87 | $707.95 | $870.96 |
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 $1,288.25 Typical High $1,949.84 | Facility | None | $69.18 | $1,288.25 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $776.25 Typical High $977.24 | Professional | None | $295.12 | $776.25 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,995.26 | Professional | None | $707.95 | $954.99 | $1,995.26 |
United Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $1,348.96 | Professional | None | $269.15 | $380.19 | $1,348.96 |
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 $213.80 Median $251.19 Typical High $309.03 | Professional | 52 · Reduced service | $213.80 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | 53 · Discontinued | $85.11 | $100.00 | $123.03 |
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· 38th of 51
$427
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.