How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $30.90 Median $83.18 Typical High $91.20 | Facility | None | $30.90 | $83.18 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $83.18 Typical High $128.82 | Professional | None | $30.90 | $83.18 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $56.23 Typical High $154.88 | Professional | None | $28.84 | $56.23 | $154.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $91.20 Typical High $229.09 | Professional | 50 · Both sides | $45.71 | $91.20 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $63.10 Typical High $281.84 | Professional | None | $28.84 | $63.10 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $125.89 Typical High $190.55 | Professional | None | $32.36 | $125.89 | $190.55 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $123.03 Typical High $269.15 | Professional | None | $30.20 | $123.03 | $269.15 |
United Setting Professional Modifier None Typical Low $33.88 Median $74.13 Typical High $234.42 | Professional | None | $33.88 | $74.13 | $234.42 |
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 $15.49 Median $33.11 Typical High $45.71 | Professional | 52 · Reduced service | $15.49 | $33.11 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $13.18 Typical High $18.62 | Professional | 53 · Discontinued | $6.17 | $13.18 | $18.62 |
Where Georgia sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 41st of 51
$60.26
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.