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 $57.54 Median $67.61 Typical High $67.61 | Facility | None | $57.54 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $70.79 | Professional | None | $57.54 | $67.61 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $177.83 | Professional | None | $104.71 | $104.71 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $190.55 | Professional | None | $74.13 | $100.00 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $295.12 | Professional | None | $83.18 | $141.25 | $295.12 |
United Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $602.56 | Professional | None | $134.90 | $218.78 | $602.56 |
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 $28.84 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $28.84 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $13.49 Typical High $14.13 | Professional | 53 · Discontinued | $11.48 | $13.49 | $14.13 |
Where Georgia sits
The same service costs 4.9 times more in Nebraska than in Florida. 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· 32nd of 51
$100
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.