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 $22.91 Median $22.91 Typical High $64.57 | Facility | None | $22.91 | $22.91 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $34.67 | Professional | None | $22.91 | $27.54 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $44.67 Typical High $120.23 | Facility | None | $30.20 | $44.67 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $34.67 Typical High $75.86 | Professional | None | $11.48 | $34.67 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $69.18 Typical High $104.71 | Facility | None | $34.67 | $69.18 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $57.54 Typical High $138.04 | Professional | None | $17.78 | $57.54 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $52.48 Typical High $120.23 | Professional | None | $34.67 | $52.48 | $120.23 |
Oscar Health Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $61.66 | Professional | None | $34.67 | $42.66 | $61.66 |
United Setting Professional Modifier None Typical Low $27.54 Median $44.67 Typical High $97.72 | Professional | None | $27.54 | $44.67 | $97.72 |
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 $11.48 Median $13.49 Typical High $16.60 | Professional | 52 · Reduced service | $11.48 | $13.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.37 Typical High $6.61 | Professional | 53 · Discontinued | $4.68 | $5.37 | $6.61 |
Where Georgia sits
The same service costs 4.6 times more in Kentucky 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· 27th of 51
$40.74
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.