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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Professional | None | $524.81 | $524.81 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $851.14 Typical High $2,951.21 | Facility | None | $575.44 | $851.14 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $891.25 | Professional | None | $562.34 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $1,258.93 Typical High $1,584.89 | Facility | None | $66.07 | $1,258.93 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | None | $109.65 | $109.65 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,511.89 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $269.15 | Professional | None | $18.62 | $18.62 | $269.15 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Where Georgia sits
The same service costs 17.0 times more in Vermont than in Montana. 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· 12th of 51
$891
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.