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 $13.49 Median $13.49 Typical High $36.31 | Facility | None | $13.49 | $13.49 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $19.50 | Professional | None | $13.49 | $15.85 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $26.30 Typical High $74.13 | Facility | None | $16.22 | $26.30 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $27.54 Typical High $44.67 | Professional | None | $9.12 | $27.54 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | None | $24.55 | $24.55 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $44.67 Typical High $66.07 | Facility | None | $26.30 | $44.67 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $51.29 | Professional | None | $10.72 | $10.72 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $39.81 | Professional | None | $16.60 | $20.42 | $39.81 |
Oscar Health Setting Facility Modifier None Typical Low $93.33 Median $165.96 Typical High $165.96 | Facility | None | $93.33 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.98 Typical High $52.48 | Professional | None | $11.22 | $16.98 | $52.48 |
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 $6.76 Median $6.76 Typical High $9.77 | Professional | 52 · Reduced service | $6.76 | $6.76 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.89 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.89 |
Where Georgia sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 15th of 51
$26.30
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.