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 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $22.91 Typical High $32.36 | Facility | None | $10.00 | $22.91 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3.16 Median $5.01 Typical High $14.45 | Professional | None (both parts) | $3.16 | $5.01 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $1.17 Median $24.55 Typical High $69.18 | Facility | None | $1.17 | $24.55 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.61 Median $8.32 Typical High $32.36 | Professional | None (both parts) | $6.61 | $8.32 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | None | $138.04 | $138.04 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $10.72 Median $14.45 Typical High $50.12 | Professional | None (both parts) | $10.72 | $14.45 | $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 20.0 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
$5.01
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.