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 $33.88 Median $33.88 Typical High $93.33 | Facility | None | $33.88 | $33.88 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $50.12 | Professional | None | $33.88 | $42.66 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $67.61 Typical High $173.78 | Facility | None | $43.65 | $67.61 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $97.72 | Professional | None | $15.85 | $26.30 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $154.88 | Facility | None | $50.12 | $97.72 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $77.62 | Professional | None | $31.62 | $57.54 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $186.21 | Professional | None | $54.95 | $75.86 | $186.21 |
United Setting Professional Modifier None Typical Low $21.38 Median $37.15 Typical High $104.71 | Professional | None | $21.38 | $37.15 | $104.71 |
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 $16.60 Median $21.38 Typical High $24.55 | Professional | 52 · Reduced service | $16.60 | $21.38 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.51 Typical High $9.77 | Professional | 53 · Discontinued | $6.76 | $8.51 | $9.77 |
Where Georgia sits
The same service costs 3.8 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· 33rd of 51
$43.65
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.