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 $17.38 Median $17.78 Typical High $19.95 | Facility | None | $17.38 | $17.78 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $51.29 | Professional | None | $17.38 | $19.05 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $38.02 | Professional | None | $32.36 | $33.88 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $21.38 Typical High $70.79 | Professional | None | $13.49 | $21.38 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $33.11 Typical High $64.57 | Professional | None | $19.05 | $33.11 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $53.70 | Professional | None | $19.50 | $23.99 | $53.70 |
Oscar Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $19.50 Median $33.88 Typical High $66.07 | Professional | None | $19.50 | $33.88 | $66.07 |
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 $8.71 Median $8.91 Typical High $10.23 | Professional | 52 · Reduced service | $8.71 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $4.07 | Professional | 53 · Discontinued | $3.47 | $3.55 | $4.07 |
Where Georgia sits
The same service costs 2.7 times more in Alaska than in Maryland. 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· 34th of 51
$22.91
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.