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 $213.80 Median $213.80 Typical High $575.44 | Facility | None | $213.80 | $213.80 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $309.03 | Professional | None | $213.80 | $251.19 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $354.81 Typical High $1,122.02 | Facility | None | $162.18 | $354.81 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $302.00 | Professional | None | $81.28 | $128.82 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
CareSource Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $323.59 | Professional | None | $208.93 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $630.96 Typical High $977.24 | Facility | None | $112.20 | $630.96 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $263.03 Typical High $467.74 | Professional | None | $77.62 | $263.03 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $416.87 Typical High $616.60 | Professional | None | $229.09 | $416.87 | $616.60 |
United Setting Professional Modifier None Typical Low $77.62 Median $144.54 Typical High $676.08 | Professional | None | $77.62 | $144.54 | $676.08 |
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 $107.15 Median $125.89 Typical High $154.88 | Professional | 52 · Reduced service | $107.15 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | 53 · Discontinued | $42.66 | $50.12 | $61.66 |
Where Georgia sits
The same service costs 7.9 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· 49th of 51
$162
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.