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 $95.50 Median $95.50 Typical High $251.19 | Facility | None | $95.50 | $95.50 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $218.78 | Professional | None | $95.50 | $123.03 | $218.78 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $275.42 | Professional | None | $70.79 | $120.23 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $489.78 | Facility | None | $125.89 | $177.83 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $141.25 Typical High $281.84 | Professional | None | $36.31 | $141.25 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $190.55 | Professional | None | $169.82 | $186.21 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $281.84 Typical High $436.52 | Facility | None | $141.25 | $281.84 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $144.54 Typical High $562.34 | Professional | None | $67.61 | $144.54 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $269.15 | Professional | None | $141.25 | $194.98 | $269.15 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $302.00 | Professional | None | $60.26 | $85.11 | $302.00 |
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 $47.86 Median $56.23 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $22.39 | $27.54 |
Where Georgia sits
The same service costs 5.1 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· 19th of 51
$141
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.