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 $181.97 Median $181.97 Typical High $346.74 | Facility | None | $181.97 | $181.97 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $389.05 | Professional | None | $181.97 | $186.21 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $331.13 | Professional | None | $154.88 | $199.53 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $501.19 | Professional | None | $151.36 | $194.98 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $489.78 | Professional | None | $213.80 | $269.15 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $436.52 | Professional | None | $173.78 | $223.87 | $436.52 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $281.84 Typical High $363.08 | Professional | None | $147.91 | $281.84 | $363.08 |
United Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $575.44 | Professional | None | $169.82 | $281.84 | $575.44 |
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 $91.20 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | 53 · Discontinued | $36.31 | $36.31 | $39.81 |
Where Georgia sits
The same service costs 2.5 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· 37th of 51
$214
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.