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 $50.12 Median $50.12 Typical High $131.83 | Facility | None | $50.12 | $50.12 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $114.82 | Professional | None | $50.12 | $64.57 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $144.54 | Professional | None | $45.71 | $45.71 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $257.04 | Facility | None | $64.57 | $100.00 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $123.03 | Professional | None | $23.44 | $37.15 | $123.03 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
CareSource Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $74.13 | Professional | None | $48.98 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $147.91 Typical High $229.09 | Facility | None | $69.18 | $147.91 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $114.82 | Professional | None | $43.65 | $85.11 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $141.25 | Professional | None | $83.18 | $107.15 | $141.25 |
United Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $158.49 | Professional | None | $33.88 | $51.29 | $158.49 |
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 $25.12 Median $30.20 Typical High $36.31 | Professional | 52 · Reduced service | $25.12 | $30.20 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $12.02 Typical High $14.45 | Professional | 53 · Discontinued | $10.00 | $12.02 | $14.45 |
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· 48th of 51
$56.23
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.