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 $95.50 Median $95.50 Typical High $257.04 | Facility | None | $95.50 | $95.50 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $162.18 | Professional | None | $95.50 | $109.65 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $501.19 | Facility | None | $114.82 | $173.78 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $158.49 Typical High $354.81 | Professional | None | $64.57 | $158.49 | $354.81 |
CareSource Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | None | $173.78 | $173.78 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $281.84 Typical High $436.52 | Facility | None | $112.20 | $281.84 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $218.78 Typical High $562.34 | Professional | None | $72.44 | $218.78 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $316.23 | Professional | None | $128.82 | $186.21 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $257.04 | Professional | None | $144.54 | $223.87 | $257.04 |
United Setting Professional Modifier None Typical Low $93.33 Median $173.78 Typical High $512.86 | Professional | None | $93.33 | $173.78 | $512.86 |
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 $47.86 Median $47.86 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $19.05 | $27.54 |
Where Georgia sits
The same service costs 5.6 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· 32nd of 51
$158
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.