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 $15.49 Median $16.98 Typical High $30.90 | Facility | None | $15.49 | $16.98 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $30.90 | Professional | None | $15.49 | $16.98 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $21.38 | Professional | None | $11.22 | $19.95 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $27.54 Typical High $37.15 | Professional | None | $16.60 | $27.54 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $83.18 Typical High $147.91 | Professional | None | $17.38 | $83.18 | $147.91 |
Oscar Health Setting Facility Modifier None Typical Low $1,318.26 Median $2,344.23 Typical High $7,943.28 | Facility | None | $1,318.26 | $2,344.23 | $7,943.28 |
United Setting Professional Modifier None Typical Low $17.78 Median $33.11 Typical High $46.77 | Professional | None | $17.78 | $33.11 | $46.77 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 59 · Distinct service | $18.62 | $18.62 | $18.62 |
Where Georgia sits
The same service costs 8.5 times more in Vermont 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· 48th of 51
$19.95
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.