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 $54.95 Median $57.54 Typical High $58.88 | Facility | None | $54.95 | $57.54 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $64.57 | Professional | None | $54.95 | $58.88 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $117.49 | Professional | None | $54.95 | $64.57 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $120.23 | Professional | None | $50.12 | $63.10 | $120.23 |
Oscar Health Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $138.04 | Professional | None | $57.54 | $83.18 | $138.04 |
United Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $125.89 | Professional | None | $56.23 | $79.43 | $125.89 |
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 $27.54 Median $29.51 Typical High $31.62 | Professional | 52 · Reduced service | $27.54 | $29.51 | $31.62 |
Where Georgia sits
The same service costs 2.8 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· 24th of 51
$64.57
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.