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 $57.54 Median $57.54 Typical High $158.49 | Facility | None | $57.54 | $57.54 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $85.11 | Professional | None | $57.54 | $69.18 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $114.82 Typical High $302.00 | Facility | None | $74.13 | $114.82 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $43.65 Typical High $169.82 | Professional | None | $26.92 | $43.65 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $169.82 Typical High $263.03 | Facility | None | $75.86 | $169.82 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $100.00 Typical High $131.83 | Professional | None | $51.29 | $100.00 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $323.59 | Professional | None | $95.50 | $131.83 | $323.59 |
United Setting Professional Modifier None Typical Low $38.90 Median $63.10 Typical High $181.97 | Professional | None | $38.90 | $63.10 | $181.97 |
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 $28.84 Median $36.31 Typical High $42.66 | Professional | 52 · Reduced service | $28.84 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $16.98 | Professional | 53 · Discontinued | $11.48 | $14.45 | $16.98 |
Where Georgia sits
The same service costs 4.1 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· 34th of 51
$74.13
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.