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 $91.20 Median $91.20 Typical High $245.47 | Facility | None | $91.20 | $91.20 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $131.83 | Professional | None | $91.20 | $107.15 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $478.63 | Facility | None | $109.65 | $154.88 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $169.82 Typical High $275.42 | Professional | None | $34.67 | $169.82 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $275.42 Typical High $416.87 | Facility | None | $138.04 | $275.42 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $138.04 Typical High $537.03 | Professional | None | $63.10 | $138.04 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $263.03 | Professional | None | $138.04 | $190.55 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $245.47 | Professional | None | $138.04 | $169.82 | $245.47 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $295.12 | Professional | None | $57.54 | $81.28 | $295.12 |
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 $45.71 Median $53.70 Typical High $66.07 | Professional | 52 · Reduced service | $45.71 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.38 Typical High $26.30 | Professional | 53 · Discontinued | $18.20 | $21.38 | $26.30 |
Where Georgia sits
The same service costs 5.5 times more in Texas 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· 15th of 51
$151
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.