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 $29.51 Median $29.51 Typical High $30.90 | Facility | None | $29.51 | $29.51 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $36.31 | Professional | None | $29.51 | $29.51 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | 52 · Reduced service | $14.79 | $14.79 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.61 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $69.18 | Professional | None | $36.31 | $37.15 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $39.81 Typical High $48.98 | Professional | None | $15.49 | $39.81 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $69.18 | Professional | None | $33.11 | $33.11 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $50.12 | Professional | None | $33.11 | $45.71 | $50.12 |
Oscar Health Setting Professional Modifier None Typical Low $39.81 Median $72.44 Typical High $87.10 | Professional | None | $39.81 | $72.44 | $87.10 |
United Setting Professional Modifier None Typical Low $18.62 Median $28.18 Typical High $54.95 | Professional | None | $18.62 | $28.18 | $54.95 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | 59 · Distinct service | $36.31 | $36.31 | $69.18 |
Anthem BCBS Setting Professional Modifier EP · Child screening program Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | EP · Child screening program | $5.62 | $5.62 | $5.62 |
Where Georgia sits
The same service costs 2.9 times more in North Dakota than in Kentucky. 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· 24th of 51
$36.31
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.