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 $85.11 Median $85.11 Typical High $223.87 | Facility | None | $85.11 | $85.11 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | None | $85.11 | $100.00 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $436.52 | Facility | None | $109.65 | $154.88 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $190.55 Typical High $275.42 | Professional | None | $34.67 | $190.55 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $257.04 Typical High $389.05 | Facility | None | $100.00 | $257.04 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $208.93 Typical High $501.19 | Professional | None | $63.10 | $208.93 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $239.88 | Professional | None | $128.82 | $177.83 | $239.88 |
Oscar Health Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $223.87 | Professional | None | $128.82 | $158.49 | $223.87 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $275.42 | Professional | None | $63.10 | $91.20 | $275.42 |
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 $42.66 Median $50.12 Typical High $61.66 | Professional | 52 · Reduced service | $42.66 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.95 Typical High $24.55 | Professional | 53 · Discontinued | $16.98 | $19.95 | $24.55 |
Where Georgia sits
The same service costs 4.6 times more in Alaska than in Alabama. 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· 12th of 51
$158
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.