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 $11.48 Median $19.95 Typical High $52.48 | Facility | None | $11.48 | $19.95 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $38.90 Typical High $104.71 | Professional | None | $11.48 | $38.90 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $18.20 Typical High $83.18 | Professional | None | $11.22 | $18.20 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $40.74 | Professional | None | $10.47 | $12.88 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $56.23 | Professional | None | $37.15 | $44.67 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $40.74 Typical High $100.00 | Professional | None | $12.59 | $40.74 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $45.71 Typical High $104.71 | Professional | None | $11.75 | $45.71 | $104.71 |
Oscar Health Setting Facility Modifier None Typical Low $4,365.16 Median $9,120.11 Typical High $9,549.93 | Facility | None | $4,365.16 | $9,120.11 | $9,549.93 |
Oscar Health Setting Professional Modifier None Typical Low $14.45 Median $52.48 Typical High $102.33 | Professional | None | $14.45 | $52.48 | $102.33 |
United Setting Professional Modifier None Typical Low $12.59 Median $43.65 Typical High $117.49 | Professional | None | $12.59 | $43.65 | $117.49 |
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 53 · Discontinued Typical Low $2.29 Median $7.76 Typical High $10.00 | Professional | 53 · Discontinued | $2.29 | $7.76 | $10.00 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $15.85 Median $21.38 Typical High $54.95 | Professional | 59 · Distinct service | $15.85 | $21.38 | $54.95 |
Where Georgia sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 51st of 51
$13.49
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.