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 $173.78 Median $173.78 Typical High $186.21 | Facility | None | $173.78 | $173.78 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $208.93 | Professional | None | $162.18 | $173.78 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $338.84 Typical High $549.54 | Professional | None | $117.49 | $338.84 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $512.86 | Professional | None | $190.55 | $331.13 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $1,000.00 | Professional | None | $281.84 | $316.23 | $1,000.00 |
Oscar Health Setting Professional Modifier None Typical Low $8,511.38 Median $9,549.93 Typical High $11,220.18 | Professional | None | $8,511.38 | $9,549.93 | $11,220.18 |
United Setting Professional Modifier None Typical Low $79.43 Median $144.54 Typical High $363.08 | Professional | None | $79.43 | $144.54 | $363.08 |
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 $81.28 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $81.28 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $32.36 | $34.67 | $38.02 |
Where Georgia sits
The same service costs 5.8 times more in New Hampshire 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· 19th of 51
$240
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.