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 $173.78 Median $173.78 Typical High $467.74 | Facility | None | $173.78 | $173.78 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $251.19 | Professional | None | $173.78 | $190.55 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $891.25 | Facility | None | $194.98 | $309.03 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $263.03 | Professional | None | $66.07 | $104.71 | $263.03 |
CareSource Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $524.81 Typical High $794.33 | Facility | None | $69.18 | $524.81 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $371.54 Typical High $1,023.29 | Professional | None | $128.82 | $371.54 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $489.78 | Professional | None | $263.03 | $338.84 | $489.78 |
Oscar Health Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $467.74 | Professional | None | $263.03 | $323.59 | $467.74 |
United Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $549.54 | Professional | None | $109.65 | $154.88 | $549.54 |
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 $87.10 Median $100.00 Typical High $125.89 | Professional | 52 · Reduced service | $87.10 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $39.81 Typical High $50.12 | Professional | 53 · Discontinued | $34.67 | $39.81 | $50.12 |
Where Georgia sits
The same service costs 5.6 times more in Alaska than in Georgia. 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· 51st of 51
$105
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.