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 $15.85 Median $15.85 Typical High $42.66 | Facility | None | $15.85 | $15.85 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $22.91 | Professional | None | $15.85 | $15.85 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $83.18 | Facility | None | $14.45 | $26.30 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $19.05 Typical High $53.70 | Professional | None | $9.55 | $19.05 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $52.48 Typical High $72.44 | Facility | None | $23.99 | $52.48 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $24.55 Typical High $93.33 | Professional | None | $7.59 | $24.55 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $75.86 | Professional | None | $21.88 | $30.90 | $75.86 |
Oscar Health Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $51.29 | Professional | None | $23.44 | $29.51 | $51.29 |
United Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $67.61 | Professional | None | $14.45 | $23.99 | $67.61 |
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 $7.94 Median $7.94 Typical High $11.48 | Professional | 52 · Reduced service | $7.94 | $7.94 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $4.57 | Professional | 53 · Discontinued | $3.24 | $3.24 | $4.57 |
Where Georgia sits
The same service costs 8.9 times more in Texas 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· 32nd of 51
$21.38
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.