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 $2,137.96 Median $2,137.96 Typical High $5,754.40 | Facility | None | $2,137.96 | $2,137.96 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,511.89 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $12,022.64 | Facility | None | $2,511.89 | $4,073.80 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $3,981.07 | Professional | None | $812.83 | $1,288.25 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $6,456.54 Typical High $9,772.37 | Facility | None | $1,862.09 | $6,456.54 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $4,897.79 Typical High $12,882.50 | Professional | None | $1,621.81 | $4,897.79 | $12,882.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $4,168.69 Typical High $6,165.95 | Professional | None | $2,884.03 | $4,168.69 | $6,165.95 |
Oscar Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,981.07 Typical High $5,754.40 | Professional | None | $3,235.94 | $3,981.07 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $6,918.31 | Professional | None | $1,348.96 | $1,949.84 | $6,918.31 |
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 $1,071.52 Median $1,258.93 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,071.52 | $1,258.93 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $501.19 Typical High $616.60 | Professional | 53 · Discontinued | $426.58 | $501.19 | $616.60 |
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
$1,445
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.