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 $83.18 Median $83.18 Typical High $177.83 | Facility | None | $83.18 | $83.18 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $208.93 | Professional | None | $75.86 | $83.18 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $165.96 | Professional | None | $66.07 | $97.72 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $144.54 Typical High $245.47 | Professional | None | $57.54 | $144.54 | $245.47 |
CareSource Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $97.72 | Professional | None | $58.88 | $79.43 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $338.84 | Professional | None | $74.13 | $100.00 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $173.78 | Professional | None | $77.62 | $95.50 | $173.78 |
Oscar Health Setting Facility Modifier None Typical Low $38,904.51 Median $58,884.37 Typical High $63,095.73 | Facility | None | $38,904.51 | $58,884.37 | $63,095.73 |
Oscar Health Setting Professional Modifier None Typical Low $70.79 Median $131.83 Typical High $158.49 | Professional | None | $70.79 | $131.83 | $158.49 |
United Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $309.03 | Professional | None | $64.57 | $93.33 | $309.03 |
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 $85.11 Median $141.25 Typical High $165.96 | Professional | 59 · Distinct service | $85.11 | $141.25 | $165.96 |
Where Georgia sits
The same service costs 3.0 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· 21st of 51
$100
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.