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 $42.66 Median $42.66 Typical High $114.82 | Facility | None | $42.66 | $42.66 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | None | $42.66 | $50.12 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $81.28 Typical High $234.42 | Facility | None | $48.98 | $81.28 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $64.57 Typical High $144.54 | Professional | None | $16.22 | $64.57 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $87.10 | Professional | None | $77.62 | $83.18 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $128.82 Typical High $194.98 | Facility | None | $64.57 | $128.82 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $104.71 Typical High $251.19 | Professional | None | $31.62 | $104.71 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $120.23 | Professional | None | $57.54 | $83.18 | $120.23 |
Oscar Health Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $114.82 | Professional | None | $64.57 | $79.43 | $114.82 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $138.04 | Professional | None | $26.92 | $38.02 | $138.04 |
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 $21.38 Median $25.12 Typical High $30.90 | Professional | 52 · Reduced service | $21.38 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.00 Typical High $12.30 | Professional | 53 · Discontinued | $8.51 | $10.00 | $12.30 |
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· 24th of 51
$64.57
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.