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 $8.71 Median $8.71 Typical High $23.99 | Facility | None | $8.71 | $8.71 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.23 Typical High $12.59 | Professional | None | $8.71 | $10.23 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $14.79 Typical High $45.71 | Facility | None | $10.47 | $14.79 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $12.02 Typical High $25.12 | Professional | None | $3.63 | $12.02 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $28.84 Typical High $57.54 | Facility | None | $13.18 | $28.84 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $18.20 Typical High $51.29 | Professional | None | $6.31 | $18.20 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $19.50 Typical High $30.20 | Professional | None | $13.18 | $19.50 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $23.44 | Professional | None | $13.18 | $16.22 | $23.44 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.18 Typical High $34.67 | Professional | None | $8.51 | $13.18 | $34.67 |
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 $4.37 Median $5.13 Typical High $6.31 | Professional | 52 · Reduced service | $4.37 | $5.13 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $2.04 Typical High $2.51 | Professional | 53 · Discontinued | $1.74 | $2.04 | $2.51 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 35th of 51
$12.59
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.