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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $954.99 | Professional | None | $776.25 | $776.25 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $194.98 Typical High $2,951.21 | Facility | None | $131.83 | $194.98 | $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 $257.04 Typical High $316.23 | Facility | None | $66.07 | $257.04 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $645.65 | Professional | None | $524.81 | $524.81 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $5,011.87 | Professional | None | $2,818.38 | $2,818.38 | $5,011.87 |
United Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $1,348.96 | Professional | None | $18.62 | $18.62 | $1,348.96 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Where Georgia sits
The same service costs 25.1 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· 31st of 51
$776
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.