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 $37.15 Median $37.15 Typical High $102.33 | Facility | None | $37.15 | $37.15 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $53.70 | Professional | None | $37.15 | $43.65 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $63.10 Typical High $194.98 | Facility | None | $44.67 | $63.10 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $50.12 Typical High $97.72 | Professional | None | $14.13 | $50.12 | $97.72 |
CareSource Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $75.86 | Professional | None | $67.61 | $72.44 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $109.65 Typical High $169.82 | Facility | None | $56.23 | $109.65 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $83.18 Typical High $218.78 | Professional | None | $25.70 | $83.18 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $154.88 | Professional | None | $56.23 | $77.62 | $154.88 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $117.49 | Professional | None | $53.70 | $69.18 | $117.49 |
United Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $125.89 | Professional | None | $25.12 | $34.67 | $125.89 |
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 $18.62 Median $21.88 Typical High $26.92 | Professional | 52 · Reduced service | $18.62 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.71 Typical High $10.72 | Professional | 53 · Discontinued | $7.41 | $8.71 | $10.72 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in Delaware. 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· 27th of 51
$54.95
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.