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 $27.54 Median $27.54 Typical High $77.62 | Facility | None | $27.54 | $27.54 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $39.81 | Professional | None | $27.54 | $32.36 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $144.54 | Facility | None | $36.31 | $56.23 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $41.69 Typical High $89.13 | Professional | None | $12.88 | $41.69 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $81.28 Typical High $128.82 | Facility | None | $41.69 | $81.28 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $69.18 Typical High $165.96 | Professional | None | $21.38 | $69.18 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $154.88 | Professional | None | $41.69 | $58.88 | $154.88 |
Oscar Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $104.71 | Professional | None | $24.55 | $34.67 | $104.71 |
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 $13.80 Median $16.22 Typical High $19.95 | Professional | 52 · Reduced service | $13.80 | $16.22 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.46 Typical High $7.94 | Professional | 53 · Discontinued | $5.50 | $6.46 | $7.94 |
Where Georgia sits
The same service costs 3.3 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· 33rd of 51
$41.69
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.