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 $74.13 Median $74.13 Typical High $199.53 | Facility | None | $74.13 | $74.13 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $74.13 | $87.10 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $100.00 Typical High $151.36 | Facility | None | $16.98 | $100.00 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4.37 Median $6.92 Typical High $112.20 | Professional | None (both parts) | $4.37 | $6.92 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $338.84 | Facility | None | $144.54 | $245.47 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $128.82 | $138.04 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | None | $123.03 | $123.03 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $67.61 Typical High $234.42 | Professional | None (both parts) | $46.77 | $67.61 | $234.42 |
3 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 $37.15 Median $43.65 Typical High $53.70 | Professional | 52 · Reduced service | $37.15 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.38 Typical High $21.38 | Professional | 53 · Discontinued | $14.79 | $17.38 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $114.82 | $218.78 |
Where Georgia sits
The same service costs 15.5 times more in Alaska than in Kentucky. 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· 43rd of 51
$67.61
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.