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 $123.03 Median $123.03 Typical High $331.13 | Facility | None | $123.03 | $123.03 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $177.83 | Professional | None | $123.03 | $144.54 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $676.08 | Facility | None | $144.54 | $234.42 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $186.21 Typical High $416.87 | Professional | None | $46.77 | $186.21 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $251.19 | Professional | None | $223.87 | $239.88 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $363.08 Typical High $562.34 | Facility | None | $117.49 | $363.08 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $302.00 Typical High $724.44 | Professional | None | $93.33 | $302.00 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $354.81 | Professional | None | $165.96 | $239.88 | $354.81 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $331.13 | Professional | None | $186.21 | $229.09 | $331.13 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $398.11 | Professional | None | $77.62 | $112.20 | $398.11 |
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 $61.66 Median $72.44 Typical High $89.13 | Professional | 52 · Reduced service | $61.66 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $35.48 | Professional | 53 · Discontinued | $24.55 | $28.84 | $35.48 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 26th of 51
$186
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.