How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $758.58 Median $758.58 Typical High $831.76 | Facility | None | $758.58 | $758.58 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | None | $758.58 | $758.58 | $1,000.00 |
Ambetter Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,698.24 | Professional | None | $724.44 | $933.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,819.70 Typical High $2,818.38 | Professional | None | $954.99 | $1,819.70 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $7,079.46 | Professional | None | $1,174.90 | $1,318.26 | $7,079.46 |
Oscar Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $3,715.35 | Professional | None | $2,754.23 | $3,090.30 | $3,715.35 |
United Setting Professional Modifier None Typical Low $457.09 Median $891.25 Typical High $2,511.89 | Professional | None | $457.09 | $891.25 | $2,511.89 |
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 $380.19 Median $380.19 Typical High $426.58 | Professional | 52 · Reduced service | $380.19 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | 53 · Discontinued | $151.36 | $151.36 | $169.82 |
Where Georgia sits
The same service costs 2.6 times more in Nebraska than in North Dakota. 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· 33rd of 51
$933
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.