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 $36.31 Median $36.31 Typical High $95.50 | Facility | None | $36.31 | $36.31 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $52.48 | Professional | None | $36.31 | $43.65 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $64.57 Typical High $186.21 | Facility | None | $40.74 | $64.57 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $21.88 Typical High $33.88 | Professional | None | $13.80 | $21.88 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $107.15 Typical High $165.96 | Facility | None | $53.70 | $107.15 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $67.61 Typical High $77.62 | Professional | None | $26.92 | $67.61 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $102.33 | Professional | None | $60.26 | $77.62 | $102.33 |
United Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $114.82 | Professional | None | $22.91 | $32.36 | $114.82 |
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 $18.20 Median $21.88 Typical High $26.30 | Professional | 52 · Reduced service | $18.20 | $21.88 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.71 Typical High $10.47 | Professional | 53 · Discontinued | $7.24 | $8.71 | $10.47 |
Where Georgia sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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· 50th of 51
$22.91
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.