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 $56.23 Typical High $64.57 | Professional | None | $44.67 | $56.23 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $234.42 | Facility | None | $57.54 | $89.13 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $33.11 Typical High $131.83 | Professional | None | $20.89 | $33.11 | $131.83 |
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 $67.61 Median $131.83 Typical High $204.17 | Facility | None | $67.61 | $131.83 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $77.62 Typical High $102.33 | Professional | None | $33.11 | $77.62 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $251.19 | Professional | None | $74.13 | $102.33 | $251.19 |
United Setting Professional Modifier None Typical Low $28.18 Median $48.98 Typical High $141.25 | Professional | None | $28.18 | $48.98 | $141.25 |
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 $13.18 | Professional | 53 · Discontinued | $8.91 | $11.22 | $13.18 |
Where Georgia sits
The same service costs 3.3 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
$58.88
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.