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 $64.57 Median $64.57 Typical High $181.97 | Facility | None | $64.57 | $64.57 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $169.82 | Professional | None | $64.57 | $69.18 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $75.86 Typical High $141.25 | Professional | None | $74.13 | $75.86 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $190.55 | Professional | None | $67.61 | $100.00 | $190.55 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $91.20 | Professional | None | $64.57 | $85.11 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $218.78 | Professional | None | $79.43 | $100.00 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $316.23 | Professional | None | $74.13 | $97.72 | $316.23 |
Oscar Health Setting Facility Modifier None Typical Low $3,235.94 Median $6,456.54 Typical High $10,471.29 | Facility | None | $3,235.94 | $6,456.54 | $10,471.29 |
Oscar Health Setting Professional Modifier None Typical Low $39.81 Median $77.62 Typical High $158.49 | Professional | None | $39.81 | $77.62 | $158.49 |
United Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $223.87 | Professional | None | $61.66 | $100.00 | $223.87 |
3 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 $32.36 Median $32.36 Typical High $36.31 | Professional | 52 · Reduced service | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.45 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.45 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $69.18 Median $141.25 Typical High $165.96 | Professional | 59 · Distinct service | $69.18 | $141.25 | $165.96 |
Where Georgia sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 28th of 51
$97.72
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.