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 $190.55 Median $190.55 Typical High $501.19 | Facility | None | $190.55 | $190.55 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $275.42 | Professional | None | $190.55 | $223.87 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $316.23 Typical High $977.24 | Facility | None | $138.04 | $316.23 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $213.80 | Professional | None | $72.44 | $114.82 | $213.80 |
CareSource Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $467.74 Typical High $870.96 | Facility | None | $89.13 | $467.74 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $177.83 Typical High $407.38 | Professional | None | $53.70 | $177.83 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $537.03 | Professional | None | $316.23 | $371.54 | $537.03 |
United Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $602.56 | Professional | None | $67.61 | $141.25 | $602.56 |
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 $95.50 Median $112.20 Typical High $138.04 | Professional | 52 · Reduced service | $95.50 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $54.95 | Professional | 53 · Discontinued | $38.02 | $44.67 | $54.95 |
Where Georgia sits
The same service costs 11.2 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
$141
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.