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 $48.98 Median $48.98 Typical High $54.95 | Facility | None | $48.98 | $48.98 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $107.15 | Professional | None | $48.98 | $52.48 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $95.50 Typical High $97.72 | Professional | None | $51.29 | $95.50 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $100.00 | Professional | None | $38.02 | $58.88 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $162.18 | Professional | None | $54.95 | $74.13 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $234.42 | Professional | None | $51.29 | $60.26 | $234.42 |
Oscar Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $154.88 | Professional | None | $53.70 | $81.28 | $154.88 |
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 $24.55 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $24.55 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.00 Typical High $11.22 | Professional | 53 · Discontinued | $9.77 | $10.00 | $11.22 |
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· 31st of 51
$58.88
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.