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 $93.33 Median $93.33 Typical High $295.12 | Facility | None | $93.33 | $93.33 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $141.25 | Professional | None | $93.33 | $109.65 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $489.78 | Facility | None | $120.23 | $190.55 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $223.87 Typical High $380.19 | Professional | None | $63.10 | $223.87 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $275.42 Typical High $426.58 | Facility | None | $125.89 | $275.42 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $251.19 Typical High $549.54 | Professional | None | $70.79 | $251.19 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $436.52 | Professional | None | $125.89 | $181.97 | $436.52 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $251.19 | Professional | None | $141.25 | $173.78 | $251.19 |
United Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $446.68 | Professional | None | $93.33 | $194.98 | $446.68 |
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 $46.77 Median $46.77 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $18.62 | $26.92 |
Where Georgia sits
The same service costs 6.0 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· 23rd of 51
$195
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.