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 $117.49 Median $117.49 Typical High $316.23 | Facility | None | $117.49 | $117.49 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $169.82 | Professional | None | $117.49 | $138.04 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $616.60 | Facility | None | $151.36 | $234.42 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $269.15 Typical High $407.38 | Professional | None | $54.95 | $269.15 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $354.81 Typical High $537.03 | Facility | None | $158.49 | $354.81 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $295.12 Typical High $691.83 | Professional | None | $89.13 | $295.12 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $338.84 | Professional | None | $177.83 | $245.47 | $338.84 |
Oscar Health Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $316.23 | Professional | None | $177.83 | $218.78 | $316.23 |
United Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $380.19 | Professional | None | $100.00 | $144.54 | $380.19 |
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 $58.88 Median $69.18 Typical High $85.11 | Professional | 52 · Reduced service | $58.88 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $23.44 | $27.54 | $33.88 |
Where Georgia sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 11th of 51
$229
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.