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 $18.20 Median $18.20 Typical High $47.86 | Facility | None | $18.20 | $18.20 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $26.30 | Professional | None | $18.20 | $21.38 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $33.88 Typical High $93.33 | Facility | None | $23.99 | $33.88 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $19.95 Typical High $28.18 | Professional | None | $6.76 | $19.95 | $28.18 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $60.26 Typical High $83.18 | Facility | None | $26.92 | $60.26 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $31.62 Typical High $41.69 | Professional | None | $12.02 | $31.62 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $51.29 | Professional | None | $29.51 | $38.90 | $51.29 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $57.54 | Professional | None | $11.48 | $16.22 | $57.54 |
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 $9.12 Median $10.47 Typical High $12.88 | Professional | 52 · Reduced service | $9.12 | $10.47 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.27 Typical High $5.25 | Professional | 53 · Discontinued | $3.63 | $4.27 | $5.25 |
Where Georgia sits
The same service costs 4.0 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· 30th of 51
$21.88
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.