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 $107.15 Median $107.15 Typical High $288.40 | Facility | None | $107.15 | $107.15 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $158.49 | Professional | None | $107.15 | $128.82 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $177.83 Typical High $562.34 | Facility | None | $100.00 | $177.83 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $69.18 Typical High $144.54 | Professional | None | $40.74 | $69.18 | $144.54 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $263.03 Typical High $489.78 | Facility | None | $69.18 | $263.03 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $141.25 Typical High $234.42 | Professional | None | $41.69 | $141.25 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $309.03 | Professional | None | $177.83 | $245.47 | $309.03 |
United Setting Professional Modifier None Typical Low $47.86 Median $91.20 Typical High $338.84 | Professional | None | $47.86 | $91.20 | $338.84 |
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 $53.70 Median $64.57 Typical High $77.62 | Professional | 52 · Reduced service | $53.70 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.70 Typical High $31.62 | Professional | 53 · Discontinued | $21.38 | $25.70 | $31.62 |
Where Georgia sits
The same service costs 7.6 times more in Alaska than in Alabama. 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
$97.72
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.