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 $31.62 Median $31.62 Typical High $85.11 | Facility | None | $31.62 | $31.62 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $72.44 | Professional | None | $31.62 | $41.69 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $61.66 Typical High $165.96 | Facility | None | $40.74 | $61.66 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $23.44 Typical High $87.10 | Professional | None | $14.79 | $23.44 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $93.33 Typical High $144.54 | Facility | None | $47.86 | $93.33 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $54.95 Typical High $72.44 | Professional | None | $26.92 | $54.95 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $91.20 | Professional | None | $52.48 | $72.44 | $91.20 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $100.00 | Professional | None | $20.89 | $28.84 | $100.00 |
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 $15.85 Median $20.42 Typical High $23.44 | Professional | 52 · Reduced service | $15.85 | $20.42 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.13 Typical High $9.33 | Professional | 53 · Discontinued | $6.31 | $8.13 | $9.33 |
Where Georgia sits
The same service costs 5.4 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· 43rd of 51
$38.02
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.