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 $125.89 Median $125.89 Typical High $338.84 | Facility | None | $125.89 | $125.89 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $181.97 | Professional | None | $125.89 | $151.36 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $208.93 Typical High $660.69 | Facility | None | $72.44 | $208.93 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $75.86 Typical High $120.23 | Professional | None | $47.86 | $75.86 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $309.03 Typical High $575.44 | Facility | None | $66.07 | $309.03 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $112.20 Typical High $269.15 | Professional | None | $32.36 | $112.20 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $363.08 | Professional | None | $194.98 | $245.47 | $363.08 |
United Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $398.11 | Professional | None | $34.67 | $79.43 | $398.11 |
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 $63.10 Median $75.86 Typical High $91.20 | Professional | 52 · Reduced service | $63.10 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.20 Typical High $37.15 | Professional | 53 · Discontinued | $25.12 | $30.20 | $37.15 |
Where Georgia sits
The same service costs 11.2 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· 49th of 51
$75.86
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.