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 $13.18 Median $13.18 Typical High $37.15 | Facility | None | $13.18 | $13.18 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $19.05 | Professional | None | $13.18 | $15.49 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $26.92 Typical High $69.18 | Facility | None | $17.38 | $26.92 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $19.95 Typical High $42.66 | Professional | None | $6.17 | $19.95 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $43.65 Typical High $61.66 | Facility | None | $19.95 | $43.65 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $33.11 Typical High $79.43 | Professional | None | $10.00 | $33.11 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $72.44 | Professional | None | $19.95 | $28.18 | $72.44 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $42.66 | Professional | None | $19.50 | $24.55 | $42.66 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $50.12 | Professional | None | $11.48 | $16.60 | $50.12 |
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 $6.61 Median $7.76 Typical High $9.55 | Professional | 52 · Reduced service | $6.61 | $7.76 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.16 Typical High $3.89 | Professional | 53 · Discontinued | $2.69 | $3.16 | $3.89 |
Where Georgia sits
The same service costs 5.5 times more in Texas than in Alabama. 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· 33rd of 51
$19.95
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.