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 $144.54 Median $144.54 Typical High $389.05 | Facility | None | $144.54 | $144.54 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $208.93 | Professional | None | $144.54 | $169.82 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $316.23 | Professional | None | $134.90 | $134.90 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $758.58 | Facility | None | $173.78 | $245.47 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $218.78 | Professional | None | $54.95 | $97.72 | $218.78 |
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 $141.25 Median $218.78 Typical High $218.78 | Professional | None | $141.25 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $436.52 Typical High $660.69 | Facility | None | $218.78 | $436.52 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $263.03 Typical High $331.13 | Professional | None | $100.00 | $263.03 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $1,380.38 | Professional | None | $239.88 | $331.13 | $1,380.38 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $457.09 | Professional | None | $91.20 | $131.83 | $457.09 |
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 $72.44 Median $85.11 Typical High $104.71 | Professional | 52 · Reduced service | $72.44 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $41.69 | Professional | 53 · Discontinued | $28.84 | $33.88 | $41.69 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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· 37th of 51
$174
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.