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 $33.11 Median $33.11 Typical High $87.10 | Facility | None | $33.11 | $33.11 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $47.86 | Professional | None | $33.11 | $38.90 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $169.82 | Facility | None | $42.66 | $66.07 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $75.86 Typical High $112.20 | Professional | None | $15.49 | $75.86 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $151.36 | Facility | None | $50.12 | $97.72 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $81.28 Typical High $194.98 | Professional | None | $25.12 | $81.28 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $93.33 | Professional | None | $50.12 | $67.61 | $93.33 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $87.10 | Professional | None | $50.12 | $61.66 | $87.10 |
United Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $107.15 | Professional | None | $28.18 | $40.74 | $107.15 |
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 $16.60 Median $19.50 Typical High $23.99 | Professional | 52 · Reduced service | $16.60 | $19.50 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.76 Typical High $9.55 | Professional | 53 · Discontinued | $6.61 | $7.76 | $9.55 |
Where Georgia sits
The same service costs 5.8 times more in Texas 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· 9th of 51
$63.10
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.