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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $194.98 Typical High $1,659.59 | Facility | None | $131.83 | $194.98 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $501.19 | Professional | None | $316.23 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $257.04 Typical High $316.23 | Facility | None | $66.07 | $257.04 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | None | $169.82 | $169.82 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $1,202.26 Typical High $1,202.26 | Professional | None | $512.86 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $257.04 | Professional | None | $18.62 | $18.62 | $257.04 |
1 more rate 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 $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Where Georgia sits
The same service costs 6.9 times more in New York than in Kentucky. 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· 10th of 51
$427
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.