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 $4.68 Median $6.17 Typical High $18.20 | Professional | None (both parts) | $4.68 | $6.17 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $23.44 Typical High $32.36 | Facility | None | $13.49 | $23.44 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4.27 Median $6.76 Typical High $16.60 | Professional | None (both parts) | $4.27 | $6.76 | $16.60 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.80 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $13.80 | $23.99 | $23.99 |
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 $32.36 Typical High $36.31 | Professional | None (both parts) | $12.02 | $32.36 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $204.17 | Professional | None | $151.36 | $151.36 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $10.72 Median $15.14 Typical High $50.12 | Professional | None (both parts) | $10.72 | $15.14 | $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 14.8 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
$6.76
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.