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 $67.61 Median $67.61 Typical High $190.55 | Facility | None | $67.61 | $67.61 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $87.10 | Professional | None | $67.61 | $69.18 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $83.18 Typical High $128.82 | Facility | None | $37.15 | $83.18 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $41.69 Typical High $158.49 | Professional | None | $26.30 | $41.69 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $162.18 Typical High $281.84 | Facility | None | $66.07 | $162.18 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $263.03 | Professional | None | $34.67 | $47.86 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $316.23 | Professional | None | $69.18 | $128.82 | $316.23 |
United Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $173.78 | Professional | None | $39.81 | $61.66 | $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 $33.88 Median $34.67 Typical High $43.65 | Professional | 52 · Reduced service | $33.88 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $13.80 | $17.38 |
Where Georgia sits
The same service costs 9.3 times more in Alaska than in Hawaii. 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· 44th of 51
$47.86
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.