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 $97.72 Median $97.72 Typical High $275.42 | Facility | None | $97.72 | $97.72 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $147.91 | Professional | None | $97.72 | $125.89 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $512.86 | Facility | None | $128.82 | $199.53 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $74.13 Typical High $288.40 | Professional | None | $45.71 | $74.13 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $288.40 Typical High $446.68 | Facility | None | $131.83 | $288.40 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $223.87 | Professional | None | $79.43 | $169.82 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $549.54 | Professional | None | $162.18 | $223.87 | $549.54 |
United Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $309.03 | Professional | None | $61.66 | $107.15 | $309.03 |
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 $48.98 Median $61.66 Typical High $72.44 | Professional | 52 · Reduced service | $48.98 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.12 Typical High $28.84 | Professional | 53 · Discontinued | $19.95 | $25.12 | $28.84 |
Where Georgia sits
The same service costs 5.8 times more in Kansas 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· 32nd of 51
$129
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.