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 $63.10 Median $63.10 Typical High $169.82 | Facility | None | $63.10 | $63.10 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $91.20 | Professional | None | $63.10 | $74.13 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $346.74 | Facility | None | $74.13 | $120.23 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $95.50 Typical High $213.80 | Professional | None | $23.99 | $95.50 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $186.21 Typical High $288.40 | Facility | None | $69.18 | $186.21 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $154.88 Typical High $371.54 | Professional | None | $47.86 | $154.88 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $181.97 | Professional | None | $85.11 | $123.03 | $181.97 |
Oscar Health Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $169.82 | Professional | None | $95.50 | $117.49 | $169.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $204.17 | Professional | None | $39.81 | $57.54 | $204.17 |
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 $31.62 Median $37.15 Typical High $45.71 | Professional | 52 · Reduced service | $31.62 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.79 Typical High $18.20 | Professional | 53 · Discontinued | $12.59 | $14.79 | $18.20 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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
$95.50
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.