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 $58.88 Median $58.88 Typical High $158.49 | Facility | None | $58.88 | $58.88 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $85.11 | Professional | None | $58.88 | $69.18 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $112.20 Typical High $323.59 | Facility | None | $67.61 | $112.20 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $79.43 Typical High $199.53 | Professional | None | $22.39 | $79.43 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $173.78 Typical High $269.15 | Facility | None | $69.18 | $173.78 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $144.54 Typical High $346.74 | Professional | None | $43.65 | $144.54 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $165.96 | Professional | None | $79.43 | $114.82 | $165.96 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $154.88 | Professional | None | $89.13 | $109.65 | $154.88 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $190.55 | Professional | None | $37.15 | $52.48 | $190.55 |
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 $29.51 Median $34.67 Typical High $42.66 | Professional | 52 · Reduced service | $29.51 | $34.67 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.80 Typical High $16.98 | Professional | 53 · Discontinued | $11.75 | $13.80 | $16.98 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 28th of 51
$85.11
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.