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 $758.58 Median $758.58 Typical High $870.96 | Facility | None | $758.58 | $758.58 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $776.25 | Professional | None | $645.65 | $758.58 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $3,311.31 Typical High $3,467.37 | Facility | None | $954.99 | $3,311.31 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,023.29 | Professional | None | $724.44 | $977.24 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,621.81 | Facility | None | $912.01 | $1,023.29 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,148.15 | $2,137.96 | $3,630.78 |
United Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Professional | None | $891.25 | $891.25 | $1,174.90 |
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 $323.59 Median $380.19 Typical High $389.05 | Professional | 52 · Reduced service | $323.59 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $151.36 Typical High $154.88 | Professional | 53 · Discontinued | $128.82 | $151.36 | $154.88 |
Where Georgia sits
The same service costs 6.2 times more in Hawaii 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· 8th of 51
$977
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.