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 $43.65 Median $43.65 Typical High $120.23 | Facility | None | $43.65 | $43.65 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $114.82 | Professional | None | $43.65 | $56.23 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $223.87 | Facility | None | $56.23 | $87.10 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $100.00 Typical High $147.91 | Professional | None | $20.42 | $100.00 | $147.91 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $89.13 | Professional | None | $77.62 | $85.11 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $131.83 Typical High $199.53 | Facility | None | $66.07 | $131.83 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $107.15 Typical High $257.04 | Professional | None | $33.11 | $107.15 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $123.03 | Professional | None | $66.07 | $91.20 | $123.03 |
Oscar Health Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $114.82 | Professional | None | $66.07 | $81.28 | $114.82 |
United Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $141.25 | Professional | None | $37.15 | $53.70 | $141.25 |
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 $21.88 Median $25.70 Typical High $31.62 | Professional | 52 · Reduced service | $21.88 | $25.70 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.23 Typical High $12.59 | Professional | 53 · Discontinued | $8.71 | $10.23 | $12.59 |
Where Georgia sits
The same service costs 4.8 times more in Kansas than in Illinois. 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· 14th 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.