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 $97.72 Median $97.72 Typical High $109.65 | Facility | None | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | None | $97.72 | $97.72 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $208.93 | Professional | None | $77.62 | $117.49 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $331.13 | Professional | None | $114.82 | $158.49 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $478.63 | Professional | None | $107.15 | $125.89 | $478.63 |
Oscar Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $309.03 | Professional | None | $114.82 | $177.83 | $309.03 |
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 $48.98 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $48.98 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.39 |
Where Georgia sits
The same service costs 2.7 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· 33rd of 51
$117
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.