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 $77.62 Median $77.62 Typical High $213.80 | Facility | None | $77.62 | $77.62 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $234.42 | Professional | None | $77.62 | $95.50 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $407.38 | Facility | None | $100.00 | $158.49 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $194.98 Typical High $288.40 | Professional | None | $52.48 | $194.98 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $229.09 Typical High $354.81 | Facility | None | $104.71 | $229.09 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $208.93 Typical High $457.09 | Professional | None | $58.88 | $208.93 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $363.08 | Professional | None | $104.71 | $151.36 | $363.08 |
Oscar Health Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $208.93 | Professional | None | $117.49 | $144.54 | $208.93 |
United Setting Professional Modifier None Typical Low $77.62 Median $162.18 Typical High $467.74 | Professional | None | $77.62 | $162.18 | $467.74 |
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 $38.90 Median $38.90 Typical High $56.23 | Professional | 52 · Reduced service | $38.90 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $22.39 | Professional | 53 · Discontinued | $15.49 | $15.49 | $22.39 |
Where Georgia sits
The same service costs 6.3 times more in Alaska than in Alabama. 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· 21st of 51
$162
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.