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 $218.78 Median $218.78 Typical High $575.44 | Facility | None | $218.78 | $218.78 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $316.23 | Professional | None | $218.78 | $257.04 | $316.23 |
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 $147.91 Median $363.08 Typical High $1,122.02 | Facility | None | $147.91 | $363.08 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $281.84 | Professional | None | $81.28 | $131.83 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $323.59 | Professional | None | $213.80 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $630.96 Typical High $1,000.00 | Facility | None | $102.33 | $630.96 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $239.88 Typical High $467.74 | Professional | None | $70.79 | $239.88 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $426.58 Typical High $616.60 | Professional | None | $208.93 | $426.58 | $616.60 |
United Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $691.83 | Professional | None | $70.79 | $147.91 | $691.83 |
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 $43.65 Median $51.29 Typical High $63.10 | Professional | 53 · Discontinued | $43.65 | $51.29 | $63.10 |
Where Georgia sits
The same service costs 8.9 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
$148
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.