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 $44.67 Median $44.67 Typical High $123.03 | Facility | None | $44.67 | $44.67 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $117.49 | Professional | None | $44.67 | $57.54 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $229.09 | Facility | None | $57.54 | $83.18 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $112.20 | Professional | None | $20.89 | $34.67 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $128.82 Typical High $204.17 | Facility | None | $66.07 | $128.82 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $75.86 Typical High $102.33 | Professional | None | $43.65 | $75.86 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $208.93 | Professional | None | $74.13 | $100.00 | $208.93 |
United Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $165.96 | Professional | None | $30.20 | $41.69 | $165.96 |
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 $22.39 Median $28.18 Typical High $32.36 | Professional | 52 · Reduced service | $22.39 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $11.22 Typical High $12.88 | Professional | 53 · Discontinued | $8.91 | $11.22 | $12.88 |
Where Georgia sits
The same service costs 3.9 times more in Kansas than in Texas. 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· 46th of 51
$52.48
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.