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 $53.70 Median $53.70 Typical High $79.43 | Facility | None | $53.70 | $53.70 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $141.25 | Professional | None | $53.70 | $53.70 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $229.09 Typical High $363.08 | Professional | None | $60.26 | $229.09 | $363.08 |
CareSource Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $288.40 | Professional | None | $204.17 | $269.15 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $812.83 | Professional | None | $302.00 | $316.23 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $363.08 | Professional | None | $229.09 | $295.12 | $363.08 |
Oscar Health Setting Facility Modifier None Typical Low $194.98 Median $223.87 Typical High $239.88 | Facility | None | $194.98 | $223.87 | $239.88 |
Oscar Health Setting Professional Modifier None Typical Low $251.19 Median $457.09 Typical High $537.03 | Professional | None | $251.19 | $457.09 | $537.03 |
United Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $616.60 | Professional | None | $34.67 | $51.29 | $616.60 |
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 $26.92 Median $26.92 Typical High $30.20 | Professional | 52 · Reduced service | $26.92 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $12.02 | Professional | 53 · Discontinued | $10.72 | $10.72 | $12.02 |
Where Georgia sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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· 30th of 51
$224
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.