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 $26.30 Median $26.30 Typical High $69.18 | Facility | None | $26.30 | $26.30 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $69.18 | Professional | None | $26.30 | $30.90 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $48.98 Typical High $144.54 | Facility | None | $30.20 | $48.98 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $38.90 Typical High $89.13 | Professional | None | $10.00 | $38.90 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | None | $46.77 | $51.29 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $77.62 Typical High $120.23 | Facility | None | $38.90 | $77.62 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $64.57 Typical High $154.88 | Professional | None | $19.50 | $64.57 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $74.13 | Professional | None | $35.48 | $51.29 | $74.13 |
Oscar Health Setting Professional Modifier None Typical Low $38.90 Median $47.86 Typical High $69.18 | Professional | None | $38.90 | $47.86 | $69.18 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $83.18 | Professional | None | $16.60 | $23.44 | $83.18 |
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 $13.18 Median $15.49 Typical High $19.05 | Professional | 52 · Reduced service | $13.18 | $15.49 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.17 Typical High $7.59 | Professional | 53 · Discontinued | $5.25 | $6.17 | $7.59 |
Where Georgia sits
The same service costs 6.6 times more in Kansas 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
$38.90
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.