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 $112.20 Median $112.20 Typical High $302.00 | Facility | None | $112.20 | $112.20 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $181.97 | Professional | None | $112.20 | $134.90 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $588.84 | Facility | None | $128.82 | $186.21 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $162.18 Typical High $338.84 | Professional | None | $42.66 | $162.18 | $338.84 |
CareSource Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $229.09 | Professional | None | $204.17 | $218.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $331.13 Typical High $512.86 | Facility | None | $85.11 | $331.13 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $229.09 Typical High $660.69 | Professional | None | $77.62 | $229.09 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $323.59 | Professional | None | $169.82 | $234.42 | $323.59 |
Oscar Health Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $302.00 | Professional | None | $169.82 | $208.93 | $302.00 |
United Setting Professional Modifier None Typical Low $61.66 Median $102.33 Typical High $363.08 | Professional | None | $61.66 | $102.33 | $363.08 |
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 $56.23 Median $66.07 Typical High $81.28 | Professional | 52 · Reduced service | $56.23 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $26.30 | $32.36 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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
$162
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.