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 $19.95 Median $19.95 Typical High $47.86 | Facility | None | $19.95 | $19.95 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $25.70 | Professional | None | $19.95 | $19.95 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $32.36 Typical High $40.74 | Facility | None | $18.20 | $32.36 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $12.30 Typical High $43.65 | Professional | None | $7.76 | $12.30 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $61.66 Typical High $83.18 | Facility | None | $21.38 | $61.66 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $13.80 Typical High $67.61 | Professional | None | $10.47 | $13.80 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $38.02 Typical High $295.12 | Professional | None | $20.42 | $38.02 | $295.12 |
Oscar Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $11.22 Median $18.20 Typical High $51.29 | Professional | None | $11.22 | $18.20 | $51.29 |
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 $10.00 Median $10.00 Typical High $12.88 | Professional | 52 · Reduced service | $10.00 | $10.00 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $5.13 | Professional | 53 · Discontinued | $4.07 | $4.07 | $5.13 |
Where Georgia sits
The same service costs 8.9 times more in Alaska than in Kentucky. 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· 34th of 51
$18.20
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.