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 $144.54 Median $144.54 Typical High $162.18 | Facility | None | $144.54 | $144.54 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | None | $144.54 | $144.54 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $501.19 | Professional | None | $181.97 | $323.59 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $309.03 | Professional | None | $117.49 | $181.97 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $501.19 | Professional | None | $162.18 | $218.78 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $234.42 | Professional | None | $162.18 | $190.55 | $234.42 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $346.74 | Professional | None | $151.36 | $257.04 | $346.74 |
United Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $478.63 | Professional | None | $158.49 | $251.19 | $478.63 |
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 $70.79 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $28.84 | $28.84 | $33.11 |
Where Georgia sits
The same service costs 2.8 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· 31st of 51
$178
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.