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 $57.54 Median $57.54 Typical High $66.07 | Facility | None | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | None | $57.54 | $57.54 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $58.88 Typical High $75.86 | Professional | None | $47.86 | $58.88 | $75.86 |
CareSource Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $69.18 | Professional | None | $46.77 | $53.70 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $147.91 | Professional | None | $58.88 | $83.18 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $346.74 | Professional | None | $54.95 | $72.44 | $346.74 |
Oscar Health Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $128.82 | Professional | None | $58.88 | $79.43 | $128.82 |
United Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $177.83 | Professional | None | $56.23 | $87.10 | $177.83 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | 53 · Discontinued | $11.48 | $11.48 | $13.49 |
Where Georgia sits
The same service costs 3.1 times more in Alaska than in New York. 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· 45th of 51
$58.88
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.