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 $151.36 Median $151.36 Typical High $158.49 | Facility | None | $151.36 | $151.36 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | None | $151.36 | $151.36 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $389.05 | Professional | None | $104.71 | $158.49 | $389.05 |
CareSource Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $162.18 | Professional | None | $117.49 | $151.36 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $588.84 | Professional | None | $239.88 | $239.88 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $181.97 Typical High $331.13 | Professional | None | $141.25 | $181.97 | $331.13 |
Oscar Health Setting Facility Modifier None Typical Low $144.54 Median $151.36 Typical High $177.83 | Facility | None | $144.54 | $151.36 | $177.83 |
Oscar Health Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $295.12 | Professional | None | $134.90 | $245.47 | $295.12 |
United Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $446.68 | Professional | None | $134.90 | $223.87 | $446.68 |
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 $75.86 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $75.86 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $30.20 | $30.20 | $32.36 |
Where Georgia sits
The same service costs 5.0 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· 44th of 51
$158
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.