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 $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $6,025.60 Typical High $6,309.57 | Facility | None | $1,737.80 | $6,025.60 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,318.26 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $5,011.87 Typical High $8,128.31 | Facility | None | $4,466.84 | $5,011.87 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $5,248.07 Typical High $9,332.54 | Professional | None | $1,445.44 | $5,248.07 | $9,332.54 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,079.46 | Professional | None | $5,248.07 | $5,248.07 | $7,079.46 |
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 52 · Reduced service | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 53 · Discontinued | $870.96 | $870.96 | $870.96 |
Where Georgia sits
The same service costs 24.5 times more in West Virginia than in Kansas. 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· 47th of 51
$2,042
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.