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 $33.88 Median $33.88 Typical High $91.20 | Facility | None | $33.88 | $33.88 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $89.13 | Professional | None | $33.88 | $40.74 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $69.18 Typical High $190.55 | Facility | None | $45.71 | $69.18 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $51.29 Typical High $144.54 | Professional | None | $22.91 | $51.29 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $69.18 | Professional | None | $61.66 | $67.61 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $102.33 Typical High $154.88 | Facility | None | $51.29 | $102.33 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $85.11 Typical High $204.17 | Professional | None | $25.70 | $85.11 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $97.72 | Professional | None | $46.77 | $67.61 | $97.72 |
Oscar Health Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $91.20 | Professional | None | $51.29 | $63.10 | $91.20 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $109.65 | Professional | None | $21.38 | $30.90 | $109.65 |
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 $16.98 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $16.98 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.94 Typical High $9.77 | Professional | 53 · Discontinued | $6.92 | $7.94 | $9.77 |
Where Georgia sits
The same service costs 6.0 times more in California than in Oklahoma. 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· 32nd of 51
$51.29
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.