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 $67.61 Median $70.79 Typical High $70.79 | Facility | None | $67.61 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $67.61 Typical High $70.79 | Professional | None | $36.31 | $67.61 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $107.15 | Facility | None | $52.48 | $77.62 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $109.65 | Professional | None | $57.54 | $72.44 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $21.88 | Professional | None | $15.85 | $15.85 | $21.88 |
United Setting Professional Modifier None Typical Low $26.30 Median $69.18 Typical High $123.03 | Professional | None | $26.30 | $69.18 | $123.03 |
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 $18.20 Median $33.88 Typical High $35.48 | Professional | 52 · Reduced service | $18.20 | $33.88 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $7.24 | $13.80 | $14.13 |
Where Georgia sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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
$72.44
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.