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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | None | $91.20 | $91.20 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $109.65 | Facility | None | $33.11 | $60.26 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $33.11 Typical High $33.11 | Professional | None | $20.89 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $102.33 | Facility | None | $64.57 | $83.18 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $131.83 | Professional | None | $104.71 | $104.71 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $467.74 | Professional | None | $363.08 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $18.62 Median $323.59 Typical High $323.59 | Professional | None | $18.62 | $323.59 | $323.59 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Where Georgia sits
The same service costs 15.1 times more in Illinois than in New Hampshire. 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· 50th of 51
$33.11
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.