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 $24.55 Median $26.30 Typical High $32.36 | Facility | None | $24.55 | $26.30 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $85.11 | Professional | None | $24.55 | $32.36 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $81.28 | Professional | None | $41.69 | $51.29 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $60.26 | Professional | None | $28.18 | $37.15 | $60.26 |
CareSource Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $57.54 | Professional | None | $36.31 | $46.77 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $89.13 | Professional | None | $32.36 | $42.66 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $54.95 | Professional | None | $26.92 | $41.69 | $54.95 |
Oscar Health Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | None | $42.66 | $53.70 | $75.86 |
United Setting Professional Modifier None Typical Low $32.36 Median $44.67 Typical High $81.28 | Professional | None | $32.36 | $44.67 | $81.28 |
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 $12.30 Median $15.49 Typical High $16.98 | Professional | 52 · Reduced service | $12.30 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.17 Typical High $6.76 | Professional | 53 · Discontinued | $5.01 | $6.17 | $6.76 |
Where Georgia sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 33rd of 51
$37.15
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.