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 $30.90 Median $30.90 Typical High $83.18 | Facility | None | $30.90 | $30.90 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $44.67 | Professional | None | $30.90 | $36.31 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $58.88 Typical High $162.18 | Facility | None | $39.81 | $58.88 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $72.44 Typical High $104.71 | Professional | None | $13.18 | $72.44 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $93.33 Typical High $141.25 | Facility | None | $46.77 | $93.33 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $75.86 Typical High $181.97 | Professional | None | $23.44 | $75.86 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $89.13 | Professional | None | $46.77 | $64.57 | $89.13 |
Oscar Health Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $83.18 | Professional | None | $46.77 | $57.54 | $83.18 |
United Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $100.00 | Professional | None | $24.55 | $34.67 | $100.00 |
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 $15.49 Median $18.20 Typical High $22.39 | Professional | 52 · Reduced service | $15.49 | $18.20 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.24 Typical High $8.91 | Professional | 53 · Discontinued | $6.17 | $7.24 | $8.91 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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
$60.26
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.