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 $100.00 Median $100.00 Typical High $269.15 | Facility | None | $100.00 | $100.00 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $144.54 | Professional | None | $100.00 | $117.49 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $549.54 | Facility | None | $117.49 | $190.55 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $151.36 Typical High $338.84 | Professional | None | $38.02 | $151.36 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $302.00 Typical High $457.09 | Facility | None | $107.15 | $302.00 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $245.47 Typical High $588.84 | Professional | None | $74.13 | $245.47 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $288.40 | Professional | None | $134.90 | $194.98 | $288.40 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $269.15 | Professional | None | $151.36 | $186.21 | $269.15 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $323.59 | Professional | None | $63.10 | $91.20 | $323.59 |
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 $50.12 Median $58.88 Typical High $72.44 | Professional | 52 · Reduced service | $50.12 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $28.84 | Professional | 53 · Discontinued | $19.95 | $23.44 | $28.84 |
Where Georgia sits
The same service costs 5.4 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· 24th of 51
$151
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.