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 $11.48 Median $11.48 Typical High $30.90 | Facility | None | $11.48 | $11.48 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.48 Median $13.49 Typical High $16.60 | Professional | None (both parts) | $11.48 | $13.49 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $19.50 Typical High $24.55 | Facility | None | $11.22 | $19.50 | $24.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.08 Median $11.22 Typical High $17.38 | Professional | None (both parts) | $7.08 | $11.22 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $38.02 Typical High $52.48 | Facility | None | $22.39 | $38.02 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $20.89 Typical High $26.30 | Professional | None (both parts) | $19.95 | $20.89 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | None | $19.05 | $19.05 | $22.39 |
United Setting Professional Modifier None (both parts) Typical Low $7.24 Median $10.47 Typical High $36.31 | Professional | None (both parts) | $7.24 | $10.47 | $36.31 |
3 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 $5.75 Median $6.76 Typical High $8.32 | Professional | 52 · Reduced service | $5.75 | $6.76 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.69 Typical High $3.31 | Professional | 53 · Discontinued | $2.29 | $2.69 | $3.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $33.88 | Professional | TC · Technical part | $16.98 | $17.78 | $33.88 |
Where Georgia sits
The same service costs 3.3 times more in Alaska than in New Mexico. 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· 43rd of 51
$11.48
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.