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 $47.86 Median $47.86 Typical High $128.82 | Facility | None | $47.86 | $47.86 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $72.44 | Professional | None | $47.86 | $57.54 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $251.19 | Facility | None | $57.54 | $81.28 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $91.20 | Professional | None | $18.20 | $28.84 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $144.54 Typical High $218.78 | Facility | None | $72.44 | $144.54 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $83.18 Typical High $109.65 | Professional | None | $30.90 | $83.18 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $102.33 Typical High $138.04 | Professional | None | $79.43 | $102.33 | $138.04 |
United Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $151.36 | Professional | None | $30.20 | $43.65 | $151.36 |
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 $23.99 Median $28.18 Typical High $34.67 | Professional | 52 · Reduced service | $23.99 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $13.80 | Professional | 53 · Discontinued | $9.55 | $11.22 | $13.80 |
Where Georgia sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 50th of 51
$47.86
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.