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 $36.31 Median $45.71 Typical High $51.29 | Facility | None | $36.31 | $45.71 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $95.50 | Professional | None | $36.31 | $45.71 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $97.72 | Professional | None | $79.43 | $83.18 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $85.11 | Professional | None | $32.36 | $51.29 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $123.03 | Professional | None | $42.66 | $64.57 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $114.82 | Professional | None | $41.69 | $61.66 | $114.82 |
Oscar Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $42.66 Median $69.18 Typical High $125.89 | Professional | None | $42.66 | $69.18 | $125.89 |
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 $18.20 Median $22.39 Typical High $24.55 | Professional | 52 · Reduced service | $18.20 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.91 Typical High $9.77 | Professional | 53 · Discontinued | $7.41 | $8.91 | $9.77 |
Where Georgia sits
The same service costs 2.8 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· 36th of 51
$51.29
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.