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 $8.71 Median $8.71 Typical High $23.44 | Facility | None | $8.71 | $8.71 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $14.13 | Professional | None | $8.71 | $11.22 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $19.05 | Professional | None | $8.13 | $8.13 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $45.71 | Facility | None | $11.48 | $17.78 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $6.61 Typical High $22.39 | Professional | None | $4.07 | $6.61 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $8.71 Median $13.18 Typical High $13.18 | Professional | None | $8.71 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $28.84 Typical High $57.54 | Facility | None | $13.18 | $28.84 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $15.14 Typical High $19.95 | Professional | None | $7.59 | $15.14 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $25.12 | Professional | None | $14.45 | $19.95 | $25.12 |
United Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $27.54 | Professional | None | $6.03 | $9.12 | $27.54 |
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 $4.37 Median $5.25 Typical High $6.31 | Professional | 52 · Reduced service | $4.37 | $5.25 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.14 Typical High $2.51 | Professional | 53 · Discontinued | $1.78 | $2.14 | $2.51 |
Where Georgia sits
The same service costs 4.2 times more in Alaska 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
$8.71
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.