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 $14.45 Median $14.45 Typical High $40.74 | Facility | None | $14.45 | $14.45 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $20.89 | Professional | None | $14.45 | $16.98 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $75.86 | Facility | None | $19.05 | $27.54 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $21.88 Typical High $44.67 | Professional | None | $6.17 | $21.88 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $47.86 Typical High $66.07 | Facility | None | $21.88 | $47.86 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $36.31 Typical High $87.10 | Professional | None | $11.22 | $36.31 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $72.44 | Professional | None | $21.88 | $30.90 | $72.44 |
Oscar Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $56.23 | Professional | None | $11.48 | $16.60 | $56.23 |
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 $7.24 Median $8.51 Typical High $10.47 | Professional | 52 · Reduced service | $7.24 | $8.51 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.39 Typical High $4.17 | Professional | 53 · Discontinued | $2.95 | $3.39 | $4.17 |
Where Georgia sits
The same service costs 4.7 times more in Alaska 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· 26th of 51
$21.88
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.