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 $4.79 Median $5.13 Typical High $51.29 | Facility | None | $4.79 | $5.13 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $32.36 Typical High $134.90 | Professional | None | $4.79 | $32.36 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $57.54 Typical High $57.54 | Professional | None | $5.37 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $39.81 Typical High $81.28 | Professional | None | $5.62 | $39.81 | $81.28 |
CareSource Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $79.43 | Professional | None | $48.98 | $67.61 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.37 Median $60.26 Typical High $181.97 | Professional | None | $5.37 | $60.26 | $181.97 |
Oscar Health Setting Facility Modifier None Typical Low $93.33 Median $5,128.61 Typical High $6,025.60 | Facility | None | $93.33 | $5,128.61 | $6,025.60 |
Oscar Health Setting Professional Modifier None Typical Low $6.61 Median $60.26 Typical High $134.90 | Professional | None | $6.61 | $60.26 | $134.90 |
United Setting Professional Modifier None Typical Low $5.75 Median $47.86 Typical High $134.90 | Professional | None | $5.75 | $47.86 | $134.90 |
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 $0.98 Median $6.46 Typical High $10.47 | Professional | 53 · Discontinued | $0.98 | $6.46 | $10.47 |
Where Georgia sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 42nd of 51
$47.86
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.