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 $239.88 Median $239.88 Typical High $630.96 | Facility | None | $239.88 | $239.88 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $346.74 | Professional | None | $239.88 | $288.40 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $1,230.27 | Facility | None | $309.03 | $467.74 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $575.44 | Professional | None | $112.20 | $177.83 | $575.44 |
CareSource Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $707.95 Typical High $1,096.48 | Facility | None | $316.23 | $707.95 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $407.38 Typical High $549.54 | Professional | None | $218.78 | $407.38 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $676.08 | Professional | None | $389.05 | $537.03 | $676.08 |
United Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $758.58 | Professional | None | $162.18 | $229.09 | $758.58 |
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 $120.23 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $120.23 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $69.18 | Professional | 53 · Discontinued | $47.86 | $57.54 | $69.18 |
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· 49th of 51
$240
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.