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 $8.91 Median $8.91 Typical High $23.99 | Facility | None | $8.91 | $8.91 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $12.88 | Professional | None | $8.91 | $10.72 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $46.77 | Facility | None | $10.72 | $16.60 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $6.76 Typical High $114.82 | Professional | None | $4.17 | $6.76 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $29.51 Typical High $57.54 | Facility | None | $13.49 | $29.51 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $15.85 Typical High $20.42 | Professional | None | $7.94 | $15.85 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $25.70 | Professional | None | $14.79 | $19.05 | $25.70 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $28.18 | Professional | None | $6.03 | $8.71 | $28.18 |
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 $4.47 Median $5.37 Typical High $6.46 | Professional | 52 · Reduced service | $4.47 | $5.37 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.19 Typical High $2.57 | Professional | 53 · Discontinued | $1.82 | $2.19 | $2.57 |
Where Georgia sits
The same service costs 4.0 times more in Kansas than in Georgia. 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· 51st of 51
$8.91
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.