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 $363.08 Typical High $724.44 | Professional | None | $275.42 | $363.08 | $724.44 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $794.33 | Professional | None | $173.78 | $173.78 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $512.86 Typical High $1,445.44 | Facility | None | $245.47 | $512.86 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $204.17 Typical High $812.83 | Professional | None | $33.11 | $204.17 | $812.83 |
CareSource Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $562.34 | Professional | None | $501.19 | $537.03 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $831.76 Typical High $1,258.93 | Facility | None | $371.54 | $831.76 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $489.78 Typical High $1,621.81 | Professional | None | $208.93 | $489.78 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $794.33 | Professional | None | $371.54 | $537.03 | $794.33 |
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· 50th of 51
$229
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.