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 $44.67 Typical High $97.72 | Facility | None | $31.62 | $44.67 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $74.13 | Professional | None | $31.62 | $41.69 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $91.20 | Professional | None | $23.99 | $29.51 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $63.10 Typical High $165.96 | Facility | None | $40.74 | $63.10 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $93.33 | Professional | None | $14.79 | $25.70 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $47.86 | Professional | None | $30.90 | $47.86 | $47.86 |
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 $30.20 Median $54.95 Typical High $72.44 | Professional | None | $30.20 | $54.95 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $177.83 | Professional | None | $52.48 | $72.44 | $177.83 |
United Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $100.00 | Professional | None | $21.38 | $34.67 | $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 $19.95 Typical High $22.91 | Professional | 52 · Reduced service | $15.85 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.94 Typical High $9.33 | Professional | 53 · Discontinued | $6.31 | $7.94 | $9.33 |
Where Georgia sits
The same service costs 6.6 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· 36th of 51
$43.65
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.