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 $21.38 Median $21.38 Typical High $22.39 | Facility | None | $21.38 | $21.38 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $60.26 | Professional | None | $21.38 | $23.44 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $26.30 Typical High $44.67 | Professional | None | $18.20 | $26.30 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $26.92 | Professional | None | $21.38 | $23.99 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $40.74 Typical High $52.48 | Professional | None | $17.78 | $40.74 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $33.88 | Professional | None | $26.30 | $27.54 | $33.88 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $34.67 | Professional | None | $30.20 | $33.88 | $34.67 |
United Setting Professional Modifier None Typical Low $19.50 Median $35.48 Typical High $77.62 | Professional | None | $19.50 | $35.48 | $77.62 |
2 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 $10.72 Median $10.96 Typical High $12.02 | Professional | 52 · Reduced service | $10.72 | $10.96 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $4.79 | Professional | 53 · Discontinued | $4.27 | $4.37 | $4.79 |
Where Georgia sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 23rd of 51
$28.18
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.