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 $22.91 Median $22.91 Typical High $26.30 | Facility | None | $22.91 | $22.91 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $30.20 | Professional | None | $22.91 | $23.44 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $54.95 | Professional | None | $22.39 | $30.90 | $54.95 |
CareSource Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $64.57 | Professional | None | $27.54 | $38.90 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $61.66 | Professional | None | $27.54 | $33.88 | $61.66 |
Oscar Health Setting Professional Modifier None Typical Low $25.70 Median $43.65 Typical High $57.54 | Professional | None | $25.70 | $43.65 | $57.54 |
United Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $70.79 | Professional | None | $23.99 | $36.31 | $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 $11.48 Median $11.48 Typical High $13.49 | Professional | 52 · Reduced service | $11.48 | $11.48 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.37 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.37 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $22.91 Median $31.62 Typical High $31.62 | Professional | 59 · Distinct service | $22.91 | $31.62 | $31.62 |
Where Georgia sits
The same service costs 2.6 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· 20th of 51
$30.90
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.