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 $102.33 Median $102.33 Typical High $117.49 | Facility | None | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $102.33 | $102.33 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $81.28 | $123.03 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $123.03 | $208.93 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $169.82 | Professional | None | $93.33 | $114.82 | $169.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $89.13 | $162.18 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $107.15 | $162.18 | $323.59 |
5 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 $51.29 Median $51.29 Typical High $60.26 | Professional | 52 · Reduced service | $51.29 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 53 · Discontinued | $20.42 | $20.42 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $134.90 | Professional | TC · Technical part | $93.33 | $102.33 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $131.83 | $173.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $169.82 | Professional | TC · Technical part | $112.20 | $154.88 | $169.82 |
Where Georgia sits
The same service costs 3.2 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· 27th of 51
$123
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.