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 $58.88 Median $58.88 Typical High $154.88 | Facility | None | $58.88 | $58.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $85.11 | Professional | None | $58.88 | $70.79 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $302.00 | Facility | None | $70.79 | $100.00 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $39.81 Typical High $128.82 | Professional | None | $22.39 | $39.81 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $169.82 Typical High $269.15 | Facility | None | $69.18 | $169.82 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $102.33 Typical High $134.90 | Professional | None | $39.81 | $102.33 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $239.88 | Professional | None | $97.72 | $131.83 | $239.88 |
United Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $186.21 | Professional | None | $38.02 | $52.48 | $186.21 |
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 $29.51 Median $35.48 Typical High $42.66 | Professional | 52 · Reduced service | $29.51 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $14.13 Typical High $16.98 | Professional | 53 · Discontinued | $11.75 | $14.13 | $16.98 |
Where Georgia sits
The same service costs 4.2 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· 45th of 51
$64.57
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.