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 $54.95 Median $54.95 Typical High $147.91 | Facility | None | $54.95 | $54.95 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $79.43 | Professional | None | $54.95 | $64.57 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $288.40 | Facility | None | $64.57 | $100.00 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $83.18 Typical High $186.21 | Professional | None | $20.89 | $83.18 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $162.18 Typical High $251.19 | Facility | None | $69.18 | $162.18 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $125.89 Typical High $323.59 | Professional | None | $41.69 | $125.89 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $158.49 | Professional | None | $83.18 | $114.82 | $158.49 |
Oscar Health Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $147.91 | Professional | None | $83.18 | $102.33 | $147.91 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $177.83 | Professional | None | $39.81 | $50.12 | $177.83 |
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 $27.54 Median $32.36 Typical High $39.81 | Professional | 52 · Reduced service | $27.54 | $32.36 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $15.85 | Professional | 53 · Discontinued | $10.96 | $12.88 | $15.85 |
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· 29th of 51
$83.18
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.