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 $9.77 Median $9.77 Typical High $26.30 | Facility | None | $9.77 | $9.77 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $14.13 | Professional | None | $9.77 | $9.77 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.32 Median $16.22 Typical High $50.12 | Facility | None | $8.32 | $16.22 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $10.72 Typical High $33.11 | Professional | None | $5.89 | $10.72 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $32.36 Typical High $57.54 | Facility | None | $14.79 | $32.36 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $14.45 Typical High $57.54 | Professional | None | $4.17 | $14.45 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $45.71 | Professional | None | $13.18 | $19.05 | $45.71 |
Oscar Health Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $30.90 | Professional | None | $14.13 | $18.20 | $30.90 |
United Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $41.69 | Professional | None | $8.32 | $14.79 | $41.69 |
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 $4.90 Median $4.90 Typical High $7.08 | Professional | 52 · Reduced service | $4.90 | $4.90 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.82 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.82 |
Where Georgia sits
The same service costs 4.5 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· 32nd of 51
$13.18
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.