How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $31.62 Median $53.70 Typical High $114.82 | Facility | None | $31.62 | $53.70 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $89.13 | Professional | None | $32.36 | $33.11 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $75.86 Typical High $87.10 | Professional | None | $39.81 | $75.86 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $107.15 | Professional | None | $34.67 | $48.98 | $107.15 |
CareSource Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $45.71 | Professional | None | $32.36 | $42.66 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $1,202.26 Typical High $1,202.26 | Facility | None | $223.87 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $165.96 | Professional | None | $91.20 | $107.15 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $147.91 | Professional | None | $39.81 | $51.29 | $147.91 |
Oscar Health Setting Facility Modifier None Typical Low $3,090.30 Median $5,495.41 Typical High $11,220.18 | Facility | None | $3,090.30 | $5,495.41 | $11,220.18 |
Oscar Health Setting Professional Modifier None Typical Low $38.02 Median $70.79 Typical High $85.11 | Professional | None | $38.02 | $70.79 | $85.11 |
United Setting Professional Modifier None Typical Low $28.84 Median $50.12 Typical High $117.49 | Professional | None | $28.84 | $50.12 | $117.49 |
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 $15.85 Median $15.85 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $7.08 | Professional | 53 · Discontinued | $6.46 | $6.46 | $7.08 |
Where Georgia sits
The same service costs 5.4 times more in Vermont than in Utah. 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· 33rd 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.