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 $22.39 Median $22.39 Typical High $61.66 | Facility | None | $22.39 | $22.39 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $32.36 | Professional | None | $22.39 | $26.30 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $38.02 Typical High $114.82 | Facility | None | $27.54 | $38.02 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $31.62 Typical High $60.26 | Professional | None | $8.91 | $31.62 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $67.61 Typical High $102.33 | Facility | None | $33.11 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $51.29 Typical High $131.83 | Professional | None | $15.49 | $51.29 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $93.33 | Professional | None | $33.11 | $50.12 | $93.33 |
Oscar Health Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $58.88 | Professional | None | $33.11 | $40.74 | $58.88 |
United Setting Professional Modifier None Typical Low $21.88 Median $35.48 Typical High $89.13 | Professional | None | $21.88 | $35.48 | $89.13 |
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 $11.22 Median $13.18 Typical High $16.22 | Professional | 52 · Reduced service | $11.22 | $13.18 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.25 Typical High $6.46 | Professional | 53 · Discontinued | $4.47 | $5.25 | $6.46 |
Where Georgia sits
The same service costs 5.6 times more in Kansas 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· 29th of 51
$34.67
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.