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 $95.50 Median $95.50 Typical High $269.15 | Facility | None | $95.50 | $95.50 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $138.04 | Professional | None | $95.50 | $112.20 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $501.19 | Facility | None | $125.89 | $194.98 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $223.87 Typical High $323.59 | Professional | None | $44.67 | $223.87 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $288.40 Typical High $436.52 | Facility | None | $128.82 | $288.40 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $239.88 Typical High $575.44 | Professional | None | $74.13 | $239.88 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $275.42 | Professional | None | $144.54 | $199.53 | $275.42 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $257.04 | Professional | None | $144.54 | $177.83 | $257.04 |
United Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $309.03 | Professional | None | $83.18 | $117.49 | $309.03 |
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 $47.86 Median $56.23 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $22.39 | $27.54 |
Where Georgia sits
The same service costs 4.9 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· 12th of 51
$186
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.