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 $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $19.50 | $19.50 | $19.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $2.75 Median $6.17 Typical High $6.17 | Professional | None (both parts) | $2.75 | $6.17 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $22.91 Typical High $32.36 | Facility | None | $8.71 | $22.91 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2.69 Median $4.37 Typical High $13.49 | Professional | None (both parts) | $2.69 | $4.37 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $28.84 Typical High $69.18 | Facility | None | $24.55 | $28.84 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $21.38 Typical High $32.36 | Professional | None (both parts) | $12.02 | $21.38 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | None | $165.96 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $8.51 Median $14.13 Typical High $50.12 | Professional | None (both parts) | $8.51 | $14.13 | $50.12 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $23.44 | $24.55 | $46.77 |
Where Georgia sits
The same service costs 22.9 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
$4.37
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.