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 $30.20 Median $30.20 Typical High $46.77 | Facility | None | $30.20 | $30.20 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | None | $30.20 | $30.20 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $63.10 | Professional | None | $23.44 | $34.67 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $100.00 | Professional | None | $33.88 | $47.86 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $707.95 | Professional | None | $28.18 | $35.48 | $707.95 |
Oscar Health Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $61.66 | Professional | None | $27.54 | $50.12 | $61.66 |
United Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $93.33 | Professional | None | $33.11 | $50.12 | $93.33 |
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 $15.14 Median $15.14 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.92 |
Where Georgia sits
The same service costs 3.0 times more in Alaska than in New York. 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
$35.48
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.