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 $114.82 | Facility | None | $43.65 | $43.65 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $114.82 | Professional | None | $43.65 | $52.48 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $223.87 | Facility | None | $52.48 | $74.13 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $74.13 Typical High $128.82 | Professional | None | $16.60 | $74.13 | $128.82 |
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 $128.82 Typical High $199.53 | Facility | None | $66.07 | $128.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $97.72 Typical High $257.04 | Professional | None | $32.36 | $97.72 | $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 $27.54 Median $38.90 Typical High $141.25 | Professional | None | $27.54 | $38.90 | $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 3.4 times more in Alaska than in Kentucky. 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· 15th of 51
$74.13
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.