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 $169.82 Median $169.82 Typical High $457.09 | Facility | None | $169.82 | $169.82 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $251.19 | Professional | None | $169.82 | $199.53 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $891.25 | Facility | None | $123.03 | $309.03 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $436.52 | Professional | None | $79.43 | $128.82 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $501.19 Typical High $776.25 | Facility | None | $229.09 | $501.19 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $338.84 Typical High $1,023.29 | Professional | None | $131.83 | $338.84 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $489.78 | Professional | None | $190.55 | $331.13 | $489.78 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $61.66 Median $154.88 Typical High $537.03 | Professional | None | $61.66 | $154.88 | $537.03 |
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 $85.11 Median $100.00 Typical High $123.03 | Professional | 52 · Reduced service | $85.11 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $39.81 Typical High $48.98 | Professional | 53 · Discontinued | $33.88 | $39.81 | $48.98 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 51st of 51
$155
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.