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 $33.88 Median $33.88 Typical High $89.13 | Facility | None | $33.88 | $33.88 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $48.98 | Professional | None | $33.88 | $33.88 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $56.23 Typical High $173.78 | Facility | None | $14.79 | $56.23 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $20.42 Typical High $114.82 | Professional | None | $13.80 | $20.42 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $154.88 | Facility | None | $50.12 | $81.28 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $25.70 Typical High $199.53 | Professional | None | $8.13 | $25.70 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $147.91 | Professional | None | $45.71 | $66.07 | $147.91 |
Oscar Health Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $107.15 | Professional | None | $48.98 | $61.66 | $107.15 |
United Setting Professional Modifier None Typical Low $14.79 Median $50.12 Typical High $144.54 | Professional | None | $14.79 | $50.12 | $144.54 |
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 $16.98 Median $16.98 Typical High $24.55 | Professional | 52 · Reduced service | $16.98 | $16.98 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $9.77 | Professional | 53 · Discontinued | $6.76 | $6.76 | $9.77 |
Where Georgia sits
The same service costs 10.2 times more in Alaska than in Kentucky. 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· 41st of 51
$33.88
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.