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 $81.28 Median $81.28 Typical High $213.80 | Facility | None | $81.28 | $81.28 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $117.49 | Professional | None | $81.28 | $95.50 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $162.18 Typical High $416.87 | Facility | None | $104.71 | $162.18 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $158.49 Typical High $275.42 | Professional | None | $38.02 | $158.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $245.47 Typical High $371.54 | Facility | None | $109.65 | $245.47 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $144.54 Typical High $478.63 | Professional | None | $61.66 | $144.54 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $229.09 | Professional | None | $123.03 | $165.96 | $229.09 |
Oscar Health Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $213.80 | Professional | None | $123.03 | $147.91 | $213.80 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $263.03 | Professional | None | $69.18 | $100.00 | $263.03 |
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 $40.74 Median $47.86 Typical High $58.88 | Professional | 52 · Reduced service | $40.74 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.05 Typical High $23.44 | Professional | 53 · Discontinued | $16.22 | $19.05 | $23.44 |
Where Georgia sits
The same service costs 4.4 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· 13th 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.