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 $18.20 Median $18.20 Typical High $41.69 | Facility | None | $18.20 | $18.20 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $51.29 | Professional | None | $18.20 | $18.62 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $35.48 | Professional | None | $16.22 | $20.89 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $30.90 Typical High $63.10 | Professional | None | $16.22 | $30.90 | $63.10 |
CareSource Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $21.38 | Professional | None | $15.49 | $19.95 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $77.62 | Professional | None | $52.48 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $107.15 | Professional | None | $18.20 | $23.99 | $107.15 |
Oscar Health Setting Professional Modifier None Typical Low $17.78 Median $33.11 Typical High $39.81 | Professional | None | $17.78 | $33.11 | $39.81 |
United Setting Professional Modifier None Typical Low $21.38 Median $36.31 Typical High $69.18 | Professional | None | $21.38 | $36.31 | $69.18 |
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 $9.12 Median $9.12 Typical High $9.77 | Professional | 52 · Reduced service | $9.12 | $9.12 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.89 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.89 |
Where Georgia sits
The same service costs 3.0 times more in Minnesota than in Pennsylvania. 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· 40th of 51
$26.92
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.