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 $17.78 Median $17.78 Typical High $48.98 | Facility | None | $17.78 | $17.78 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $36.31 | Professional | None | $17.78 | $21.38 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $93.33 | Facility | None | $21.38 | $30.20 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $23.99 Typical High $45.71 | Professional | None | $6.76 | $23.99 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $58.88 Typical High $81.28 | Facility | None | $26.92 | $58.88 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $39.81 Typical High $104.71 | Professional | None | $12.30 | $39.81 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $72.44 | Professional | None | $26.92 | $38.02 | $72.44 |
Oscar Health Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $57.54 | Professional | None | $26.30 | $33.11 | $57.54 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $60.26 | Professional | None | $11.75 | $16.60 | $60.26 |
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 $8.91 Median $10.47 Typical High $12.88 | Professional | 52 · Reduced service | $8.91 | $10.47 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.17 Typical High $5.13 | Professional | 53 · Discontinued | $3.55 | $4.17 | $5.13 |
Where Georgia sits
The same service costs 5.1 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· 23rd of 51
$26.92
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.