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 $23.44 Median $23.44 Typical High $61.66 | Facility | None | $23.44 | $23.44 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | None | $23.44 | $27.54 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $43.65 Typical High $120.23 | Facility | None | $26.92 | $43.65 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $19.05 Typical High $67.61 | Professional | None | $10.96 | $19.05 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $70.79 Typical High $107.15 | Facility | None | $35.48 | $70.79 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $41.69 Typical High $138.04 | Professional | None | $17.78 | $41.69 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $66.07 | Professional | None | $31.62 | $45.71 | $66.07 |
Oscar Health Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $74.13 | Professional | None | $33.88 | $43.65 | $74.13 |
United Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $75.86 | Professional | None | $13.49 | $20.89 | $75.86 |
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 $11.75 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $11.75 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.50 Typical High $6.76 | Professional | 53 · Discontinued | $4.68 | $5.50 | $6.76 |
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· 38th of 51
$29.51
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.