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 $85.11 Median $85.11 Typical High $229.09 | Facility | None | $85.11 | $85.11 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $125.89 | Professional | None | $85.11 | $102.33 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $144.54 Typical High $446.68 | Facility | None | $95.50 | $144.54 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $144.54 | Professional | None | $32.36 | $57.54 | $144.54 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $208.93 Typical High $389.05 | Facility | None | $69.18 | $208.93 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $144.54 Typical High $186.21 | Professional | None | $43.65 | $144.54 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $257.04 | Professional | None | $141.25 | $194.98 | $257.04 |
United Setting Professional Modifier None Typical Low $45.71 Median $74.13 Typical High $269.15 | Professional | None | $45.71 | $74.13 | $269.15 |
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 $42.66 Median $51.29 Typical High $63.10 | Professional | 52 · Reduced service | $42.66 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $17.38 | $20.89 | $25.12 |
Where Georgia sits
The same service costs 6.0 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· 48th of 51
$85.11
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.