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 $12.30 Median $12.30 Typical High $33.11 | Facility | None | $12.30 | $12.30 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $17.78 | Professional | None | $12.30 | $14.45 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $23.44 Typical High $64.57 | Facility | None | $16.60 | $23.44 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $14.45 Typical High $20.42 | Professional | None | $4.68 | $14.45 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $40.74 Typical High $57.54 | Facility | None | $18.62 | $40.74 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $21.38 Typical High $28.18 | Professional | None | $8.13 | $21.38 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $35.48 | Professional | None | $20.42 | $26.30 | $35.48 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $38.90 | Professional | None | $7.76 | $11.22 | $38.90 |
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 $6.17 Median $7.24 Typical High $8.91 | Professional | 52 · Reduced service | $6.17 | $7.24 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.88 Typical High $3.55 | Professional | 53 · Discontinued | $2.45 | $2.88 | $3.55 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 33rd of 51
$14.79
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.