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 $269.15 Median $269.15 Typical High $295.12 | Facility | None | $269.15 | $269.15 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $302.00 | Professional | None | $239.88 | $269.15 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $363.08 Typical High $537.03 | Professional | None | $223.87 | $363.08 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $812.83 | Professional | None | $302.00 | $537.03 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $3,311.31 | Professional | None | $389.05 | $436.52 | $3,311.31 |
Oscar Health Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $870.96 | Professional | None | $645.65 | $724.44 | $870.96 |
United Setting Professional Modifier None Typical Low $199.53 Median $371.54 Typical High $676.08 | Professional | None | $199.53 | $371.54 | $676.08 |
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 $120.23 Median $134.90 Typical High $151.36 | Professional | 52 · Reduced service | $120.23 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $53.70 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $53.70 | $60.26 |
Where Georgia sits
The same service costs 3.5 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· 24th of 51
$363
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.