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 $52.48 Median $52.48 Typical High $141.25 | Facility | None | $52.48 | $52.48 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $75.86 | Professional | None | $52.48 | $63.10 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $87.10 Typical High $269.15 | Facility | None | $54.95 | $87.10 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $34.67 Typical High $79.43 | Professional | None | $19.95 | $34.67 | $79.43 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $128.82 Typical High $239.88 | Facility | None | $66.07 | $128.82 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $83.18 Typical High $112.20 | Professional | None | $24.55 | $83.18 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $147.91 | Professional | None | $87.10 | $117.49 | $147.91 |
United Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $165.96 | Professional | None | $26.30 | $39.81 | $165.96 |
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 $26.30 Median $31.62 Typical High $38.02 | Professional | 52 · Reduced service | $26.30 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.59 Typical High $15.14 | Professional | 53 · Discontinued | $10.47 | $12.59 | $15.14 |
Where Georgia sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 43rd of 51
$52.48
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.