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 $72.44 Median $72.44 Typical High $194.98 | Facility | None | $72.44 | $72.44 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $104.71 | Professional | None | $72.44 | $85.11 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $380.19 | Facility | None | $93.33 | $144.54 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $165.96 Typical High $251.19 | Professional | None | $33.88 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $218.78 Typical High $331.13 | Facility | None | $97.72 | $218.78 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $177.83 Typical High $426.58 | Professional | None | $54.95 | $177.83 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $208.93 | Professional | None | $109.65 | $151.36 | $208.93 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $194.98 | Professional | None | $109.65 | $134.90 | $194.98 |
United Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $234.42 | Professional | None | $61.66 | $89.13 | $234.42 |
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 $36.31 Median $42.66 Typical High $52.48 | Professional | 52 · Reduced service | $36.31 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.98 Typical High $20.89 | Professional | 53 · Discontinued | $14.45 | $16.98 | $20.89 |
Where Georgia sits
The same service costs 3.9 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· 9th of 51
$141
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.