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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $331.13 | Professional | None | $309.03 | $309.03 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $64.57 Typical High $1,318.26 | Facility | None | $43.65 | $64.57 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $398.11 | Professional | None | $181.97 | $346.74 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $104.71 | Facility | None | $64.57 | $83.18 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | None | $251.19 | $251.19 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $1,230.27 Typical High $1,230.27 | Professional | None | $512.86 | $1,230.27 | $1,230.27 |
United Setting Professional Modifier None Typical Low $18.62 Median $323.59 Typical High $363.08 | Professional | None | $18.62 | $323.59 | $363.08 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Where Georgia sits
The same service costs 7.4 times more in South Dakota than in Arkansas. 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· 13th of 51
$324
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.