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 $81.28 Median $85.11 Typical High $85.11 | Facility | None | $81.28 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | None | $81.28 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $251.19 | Professional | None | $89.13 | $112.20 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $67.61 | Professional | None | $27.54 | $30.20 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $173.78 | Professional | None | $87.10 | $112.20 | $173.78 |
United Setting Professional Modifier None Typical Low $81.28 Median $346.74 Typical High $794.33 | Professional | None | $81.28 | $346.74 | $794.33 |
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 $40.74 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $40.74 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.22 | $16.98 | $16.98 |
Where Georgia sits
The same service costs 7.4 times more in North Carolina than in Rhode Island. 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· 22nd of 51
$117
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.