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 $154.88 Median $165.96 Typical High $218.78 | Facility | None | $154.88 | $165.96 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $489.78 | Professional | None | $154.88 | $218.78 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $562.34 | Professional | None | $275.42 | $457.09 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $389.05 | Professional | None | $181.97 | $257.04 | $389.05 |
CareSource Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $630.96 | Professional | None | $181.97 | $263.03 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $295.12 Typical High $1,548.82 | Professional | None | $173.78 | $295.12 | $1,548.82 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $602.56 | Professional | None | $190.55 | $331.13 | $602.56 |
United Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $549.54 | Professional | None | $181.97 | $275.42 | $549.54 |
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 52 · Reduced service Typical Low $77.62 Median $95.50 Typical High $117.49 | Professional | 52 · Reduced service | $77.62 | $95.50 | $117.49 |
Where Georgia sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 21st of 51
$257
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.