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 $39.81 Median $39.81 Typical High $107.15 | Facility | None | $39.81 | $39.81 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $57.54 | Professional | None | $39.81 | $46.77 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $66.07 Typical High $208.93 | Facility | None | $23.44 | $66.07 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $23.99 Typical High $38.90 | Professional | None | $15.14 | $23.99 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $97.72 Typical High $181.97 | Facility | None | $60.26 | $97.72 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $35.48 Typical High $87.10 | Professional | None | $10.47 | $35.48 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $114.82 | Professional | None | $61.66 | $77.62 | $114.82 |
United Setting Professional Modifier None Typical Low $11.22 Median $25.12 Typical High $125.89 | Professional | None | $11.22 | $25.12 | $125.89 |
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 $19.95 Median $23.44 Typical High $28.84 | Professional | 52 · Reduced service | $19.95 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.33 Typical High $11.48 | Professional | 53 · Discontinued | $7.94 | $9.33 | $11.48 |
Where Georgia sits
The same service costs 8.7 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· 49th of 51
$24.55
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.