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 $109.65 Median $109.65 Typical High $302.00 | Facility | None | $109.65 | $109.65 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $158.49 | Professional | None | $109.65 | $128.82 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $100.00 | Professional | None | $97.72 | $97.72 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $562.34 | Facility | None | $141.25 | $218.78 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $251.19 Typical High $371.54 | Professional | None | $51.29 | $251.19 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $331.13 Typical High $501.19 | Facility | None | $144.54 | $331.13 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $269.15 Typical High $645.65 | Professional | None | $83.18 | $269.15 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $309.03 | Professional | None | $162.18 | $223.87 | $309.03 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $288.40 | Professional | None | $162.18 | $199.53 | $288.40 |
United Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $346.74 | Professional | None | $93.33 | $134.90 | $346.74 |
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 $54.95 Median $64.57 Typical High $79.43 | Professional | 52 · Reduced service | $54.95 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $25.70 | $31.62 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 10th of 51
$209
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.