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 $21.38 Median $64.57 Typical High $69.18 | Facility | None | $21.38 | $64.57 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $54.95 Typical High $69.18 | Professional | None | $21.38 | $54.95 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $46.77 Typical High $104.71 | Professional | None | $18.62 | $46.77 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $69.18 Typical High $169.82 | Professional | None | $24.55 | $69.18 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $83.18 Typical High $102.33 | Professional | None | $20.89 | $83.18 | $102.33 |
Oscar Health Setting Professional Modifier None Typical Low $20.42 Median $69.18 Typical High $162.18 | Professional | None | $20.42 | $69.18 | $162.18 |
United Setting Professional Modifier None Typical Low $23.99 Median $69.18 Typical High $169.82 | Professional | None | $23.99 | $69.18 | $169.82 |
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 $10.47 Median $27.54 Typical High $34.67 | Professional | 52 · Reduced service | $10.47 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $10.96 Typical High $13.80 | Professional | 53 · Discontinued | $4.27 | $10.96 | $13.80 |
Where Georgia sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 45th of 51
$50.12
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.