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 $33.88 Median $33.88 Typical High $91.20 | Facility | None | $33.88 | $33.88 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $48.98 | Professional | None | $33.88 | $39.81 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $58.88 Typical High $177.83 | Facility | None | $43.65 | $58.88 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $56.23 Typical High $104.71 | Professional | None | $14.45 | $56.23 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $69.18 | Professional | None | $61.66 | $66.07 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $154.88 | Facility | None | $51.29 | $100.00 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $77.62 Typical High $199.53 | Professional | None | $24.55 | $77.62 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $147.91 | Professional | None | $51.29 | $77.62 | $147.91 |
Oscar Health Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $91.20 | Professional | None | $51.29 | $79.43 | $91.20 |
United Setting Professional Modifier None Typical Low $35.48 Median $58.88 Typical High $138.04 | Professional | None | $35.48 | $58.88 | $138.04 |
3 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 $16.98 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $16.98 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.94 Typical High $9.77 | Professional | 53 · Discontinued | $6.76 | $7.94 | $9.77 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 59 · Distinct service | $31.62 | $31.62 | $31.62 |
Where Georgia sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 28th of 51
$56.23
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.