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 $199.53 Median $199.53 Typical High $537.03 | Facility | None | $199.53 | $199.53 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $288.40 | Professional | None | $199.53 | $234.42 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $380.19 Typical High $1,096.48 | Facility | None | $234.42 | $380.19 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $302.00 Typical High $676.08 | Professional | None | $75.86 | $302.00 | $676.08 |
CareSource Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $407.38 | Professional | None | $363.08 | $389.05 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $602.56 Typical High $912.01 | Facility | None | $213.80 | $602.56 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $501.19 Typical High $1,174.90 | Professional | None | $151.36 | $501.19 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $575.44 | Professional | None | $269.15 | $389.05 | $575.44 |
Oscar Health Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $537.03 | Professional | None | $302.00 | $371.54 | $537.03 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $645.65 | Professional | None | $125.89 | $181.97 | $645.65 |
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 $100.00 Median $117.49 Typical High $144.54 | Professional | 52 · Reduced service | $100.00 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $46.77 Typical High $57.54 | Professional | 53 · Discontinued | $39.81 | $46.77 | $57.54 |
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· 21st of 51
$302
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.