How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $33.88 Typical High $39.81 | Facility | None | $30.20 | $33.88 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $39.81 | Professional | None | $30.20 | $33.88 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $35.48 | Professional | None | $25.12 | $31.62 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $58.88 | Professional | None | $23.44 | $25.12 | $58.88 |
CareSource Setting Professional Modifier None Typical Low $24.55 Median $38.02 Typical High $46.77 | Professional | None | $24.55 | $38.02 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $40.74 | Professional | None | $25.12 | $38.90 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $53.70 | Professional | None | $40.74 | $43.65 | $53.70 |
Oscar Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $42.66 | Professional | None | $33.88 | $33.88 | $42.66 |
United Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $75.86 | Professional | None | $33.88 | $33.88 | $75.86 |
3 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 $16.98 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $16.98 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.08 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | 59 · Distinct service | $35.48 | $35.48 | $38.02 |
Where Georgia sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 40th of 51
$33.88
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.