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 $13.80 Median $13.80 Typical High $32.36 | Facility | None | $13.80 | $13.80 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | None | $13.80 | $13.80 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $21.88 Typical High $165.96 | Facility | None | $12.30 | $21.88 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $46.77 | Professional | None | $5.25 | $8.32 | $46.77 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $41.69 Typical High $60.26 | Facility | None | $14.45 | $41.69 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $9.55 Typical High $50.12 | Professional | None | $5.62 | $9.55 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $23.44 Typical High $37.15 | Professional | None | $13.80 | $23.44 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $5.25 Median $12.30 Typical High $34.67 | Professional | None | $5.25 | $12.30 | $34.67 |
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 $6.76 Median $6.92 Typical High $8.71 | Professional | 52 · Reduced service | $6.76 | $6.92 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.47 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.47 |
Where Georgia sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 30th of 51
$11.48
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.