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 $117.49 Median $117.49 Typical High $309.03 | Facility | None | $117.49 | $117.49 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $165.96 | Professional | None | $117.49 | $134.90 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $602.56 | Facility | None | $138.04 | $199.53 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $218.78 Typical High $346.74 | Professional | None | $43.65 | $218.78 | $346.74 |
CareSource Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $234.42 | Professional | None | $208.93 | $229.09 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $338.84 Typical High $537.03 | Facility | None | $114.82 | $338.84 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $269.15 Typical High $691.83 | Professional | None | $87.10 | $269.15 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $331.13 | Professional | None | $173.78 | $239.88 | $331.13 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $309.03 | Professional | None | $173.78 | $213.80 | $309.03 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $371.54 | Professional | None | $74.13 | $104.71 | $371.54 |
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 $57.54 Median $67.61 Typical High $83.18 | Professional | 52 · Reduced service | $57.54 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $23.44 | $27.54 | $33.88 |
Where Georgia sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$200
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.