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 $22.39 Median $22.39 Typical High $33.11 | Facility | None | $22.39 | $22.39 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $47.86 | Professional | None | $22.39 | $25.12 | $47.86 |
Ambetter Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $42.66 | Professional | None | $22.39 | $24.55 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $89.13 | Facility | None | $47.86 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $48.98 | Professional | None | $19.95 | $23.99 | $48.98 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $30.20 | Professional | None | $21.38 | $27.54 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $64.57 | Professional | None | $28.18 | $33.11 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $39.81 | Professional | None | $22.91 | $28.84 | $39.81 |
Oscar Health Setting Professional Modifier None Typical Low $23.44 Median $42.66 Typical High $52.48 | Professional | None | $23.44 | $42.66 | $52.48 |
United Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $70.79 | Professional | None | $21.88 | $33.88 | $70.79 |
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 $11.22 Median $11.22 Typical High $13.18 | Professional | 52 · Reduced service | $11.22 | $11.22 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $5.25 | Professional | 53 · Discontinued | $4.47 | $4.47 | $5.25 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $33.11 Median $52.48 Typical High $52.48 | Professional | 59 · Distinct service | $33.11 | $52.48 | $52.48 |
Where Georgia sits
The same service costs 2.8 times more in Alaska 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· 43rd of 51
$24.55
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.