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 $56.23 Median $56.23 Typical High $151.36 | Facility | None | $56.23 | $56.23 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $147.91 | Professional | None | $56.23 | $74.13 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $123.03 Typical High $123.03 | Professional | None | $52.48 | $123.03 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $295.12 | Facility | None | $67.61 | $102.33 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $77.62 Typical High $158.49 | Professional | None | $26.30 | $77.62 | $158.49 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $114.82 | Professional | None | $102.33 | $109.65 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $257.04 | Facility | None | $75.86 | $165.96 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $107.15 Typical High $331.13 | Professional | None | $42.66 | $107.15 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $190.55 | Professional | None | $75.86 | $114.82 | $190.55 |
Oscar Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $177.83 | Professional | None | $35.48 | $51.29 | $177.83 |
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 $28.18 Median $33.11 Typical High $40.74 | Professional | 52 · Reduced service | $28.18 | $33.11 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.18 Typical High $16.22 | Professional | 53 · Discontinued | $11.22 | $13.18 | $16.22 |
Where Georgia sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 35th of 51
$81.28
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.