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 $128.82 Median $128.82 Typical High $346.74 | Facility | None | $128.82 | $128.82 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $186.21 | Professional | None | $128.82 | $141.25 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $676.08 | Facility | None | $154.88 | $218.78 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $190.55 Typical High $380.19 | Professional | None | $48.98 | $190.55 | $380.19 |
CareSource Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $263.03 | Professional | None | $234.42 | $251.19 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $380.19 Typical High $588.84 | Facility | None | $128.82 | $380.19 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $194.98 Typical High $758.58 | Professional | None | $91.20 | $194.98 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $363.08 | Professional | None | $194.98 | $269.15 | $363.08 |
Oscar Health Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $346.74 | Professional | None | $194.98 | $239.88 | $346.74 |
United Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $416.87 | Professional | None | $83.18 | $117.49 | $416.87 |
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 $64.57 Median $75.86 Typical High $93.33 | Professional | 52 · Reduced service | $64.57 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $37.15 | Professional | 53 · Discontinued | $25.70 | $30.20 | $37.15 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 27th of 51
$191
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.