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 $83.18 Median $83.18 Typical High $223.87 | Facility | None | $83.18 | $83.18 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $120.23 | Professional | None | $83.18 | $97.72 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $141.25 Typical High $436.52 | Facility | None | $100.00 | $141.25 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $120.23 Typical High $251.19 | Professional | None | $31.62 | $120.23 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $251.19 Typical High $380.19 | Facility | None | $81.28 | $251.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $125.89 Typical High $489.78 | Professional | None | $57.54 | $125.89 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $239.88 | Professional | None | $125.89 | $173.78 | $239.88 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $223.87 | Professional | None | $125.89 | $154.88 | $223.87 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $269.15 | Professional | None | $52.48 | $74.13 | $269.15 |
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 $41.69 Median $48.98 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $16.60 | $19.50 | $23.99 |
Where Georgia sits
The same service costs 4.5 times more in Alaska than in Alabama. 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
$120
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.