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 $33.88 Median $33.88 Typical High $38.90 | Facility | None | $33.88 | $33.88 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $45.71 | Professional | None | $33.88 | $37.15 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $77.62 | Professional | None | $35.48 | $51.29 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $112.20 | Professional | None | $38.90 | $50.12 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $66.07 | Professional | None | $36.31 | $43.65 | $66.07 |
Oscar Health Setting Professional Modifier None Typical Low $33.11 Median $60.26 Typical High $79.43 | Professional | None | $33.11 | $60.26 | $79.43 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $107.15 | Professional | None | $38.02 | $54.95 | $107.15 |
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 $16.98 Median $17.38 Typical High $19.95 | Professional | 52 · Reduced service | $16.98 | $17.38 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.08 Typical High $7.94 | Professional | 53 · Discontinued | $6.76 | $7.08 | $7.94 |
Where Georgia sits
The same service costs 2.7 times more in Alaska than in New York. 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· 19th of 51
$48.98
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.