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 $275.42 Median $275.42 Typical High $741.31 | Facility | None | $275.42 | $275.42 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $398.11 | Professional | None | $275.42 | $323.59 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $478.63 Typical High $1,445.44 | Facility | None | $239.88 | $478.63 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $218.78 Typical High $812.83 | Professional | None | $128.82 | $218.78 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $831.76 Typical High $1,258.93 | Facility | None | $416.87 | $831.76 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $426.58 Typical High $1,621.81 | Professional | None | $208.93 | $426.58 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $537.03 Typical High $794.33 | Professional | None | $288.40 | $537.03 | $794.33 |
Oscar Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $891.25 | Professional | None | $120.23 | $251.19 | $891.25 |
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 $138.04 Median $162.18 Typical High $199.53 | Professional | 52 · Reduced service | $138.04 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $64.57 Typical High $79.43 | Professional | 53 · Discontinued | $54.95 | $64.57 | $79.43 |
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
$275
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.