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 $144.54 Median $147.91 Typical High $323.59 | Facility | None | $144.54 | $147.91 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $371.54 | Professional | None | $131.83 | $147.91 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $229.09 | Professional | None | $154.88 | $229.09 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $457.09 | Professional | None | $131.83 | $263.03 | $457.09 |
CareSource Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $169.82 | Professional | None | $104.71 | $141.25 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $630.96 | Professional | None | $144.54 | $190.55 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $501.19 | Professional | None | $141.25 | $177.83 | $501.19 |
Oscar Health Setting Facility Modifier None Typical Low $3,388.44 Median $10,000.00 Typical High $11,748.98 | Facility | None | $3,388.44 | $10,000.00 | $11,748.98 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $295.12 | Professional | None | $131.83 | $245.47 | $295.12 |
United Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $575.44 | Professional | None | $125.89 | $199.53 | $575.44 |
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 $154.88 Median $257.04 Typical High $257.04 | Professional | 59 · Distinct service | $154.88 | $257.04 | $257.04 |
Where Georgia sits
The same service costs 2.8 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· 17th of 51
$200
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.