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 $28.84 Median $28.84 Typical High $77.62 | Facility | None | $28.84 | $28.84 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $75.86 | Professional | None | $28.84 | $38.02 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $63.10 Typical High $63.10 | Professional | None | $21.88 | $63.10 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $54.95 Typical High $151.36 | Facility | None | $38.02 | $54.95 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $39.81 Typical High $89.13 | Professional | None | $12.59 | $39.81 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $85.11 Typical High $131.83 | Facility | None | $43.65 | $85.11 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $47.86 Typical High $169.82 | Professional | None | $21.88 | $47.86 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $144.54 | Professional | None | $43.65 | $61.66 | $144.54 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $107.15 | Professional | None | $22.91 | $33.11 | $107.15 |
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 $14.45 Median $16.98 Typical High $20.89 | Professional | 52 · Reduced service | $14.45 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.76 Typical High $8.32 | Professional | 53 · Discontinued | $5.75 | $6.76 | $8.32 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 29th 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.