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 $60.26 Median $60.26 Typical High $169.82 | Facility | None | $60.26 | $60.26 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $87.10 | Professional | None | $60.26 | $70.79 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $131.83 Typical High $131.83 | Professional | None | $56.23 | $131.83 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $316.23 | Facility | None | $79.43 | $123.03 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $141.25 Typical High $208.93 | Professional | None | $28.84 | $141.25 | $208.93 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $123.03 | Professional | None | $109.65 | $120.23 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $181.97 Typical High $281.84 | Facility | None | $81.28 | $181.97 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $151.36 Typical High $363.08 | Professional | None | $46.77 | $151.36 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $173.78 | Professional | None | $91.20 | $125.89 | $173.78 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $162.18 | Professional | None | $91.20 | $112.20 | $162.18 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $194.98 | Professional | None | $52.48 | $75.86 | $194.98 |
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 $30.20 Median $35.48 Typical High $43.65 | Professional | 52 · Reduced service | $30.20 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $17.78 | Professional | 53 · Discontinued | $12.30 | $14.45 | $17.78 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 8th of 51
$117
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.