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 $54.95 Median $54.95 Typical High $144.54 | Facility | None | $54.95 | $54.95 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $79.43 | Professional | None | $54.95 | $64.57 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $93.33 Typical High $281.84 | Facility | None | $67.61 | $93.33 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $109.65 | Professional | None | $21.38 | $33.88 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $162.18 Typical High $251.19 | Facility | None | $69.18 | $162.18 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $93.33 Typical High $125.89 | Professional | None | $42.66 | $93.33 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $154.88 | Professional | None | $89.13 | $123.03 | $154.88 |
United Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $173.78 | Professional | None | $37.15 | $48.98 | $173.78 |
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 $27.54 Median $31.62 Typical High $38.90 | Professional | 52 · Reduced service | $27.54 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $15.85 | Professional | 53 · Discontinued | $10.96 | $12.88 | $15.85 |
Where Georgia sits
The same service costs 4.9 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· 50th 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.