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 $50.12 Median $50.12 Typical High $52.48 | Facility | None | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $131.83 | Professional | None | $50.12 | $51.29 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $102.33 | Professional | None | $54.95 | $64.57 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $93.33 | Professional | None | $44.67 | $47.86 | $93.33 |
CareSource Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $141.25 | Professional | None | $50.12 | $67.61 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $141.25 | Professional | None | $52.48 | $69.18 | $141.25 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | None | $53.70 | $53.70 | $61.66 |
United Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $104.71 | Professional | None | $52.48 | $72.44 | $104.71 |
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 $25.12 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $25.12 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.72 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.72 |
Where Georgia sits
The same service costs 2.6 times more in Nebraska 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· 34th of 51
$54.95
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.