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 $45.71 Median $45.71 Typical High $123.03 | Facility | None | $45.71 | $45.71 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $66.07 | Professional | None | $45.71 | $56.23 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $91.20 Typical High $239.88 | Facility | None | $53.70 | $91.20 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $117.49 | Professional | None | $17.38 | $27.54 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $138.04 Typical High $208.93 | Facility | None | $69.18 | $138.04 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $93.33 Typical High $104.71 | Professional | None | $34.67 | $93.33 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $131.83 | Professional | None | $75.86 | $97.72 | $131.83 |
United Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $144.54 | Professional | None | $29.51 | $41.69 | $144.54 |
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 $22.91 Median $27.54 Typical High $33.11 | Professional | 52 · Reduced service | $22.91 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.22 Typical High $13.49 | Professional | 53 · Discontinued | $9.33 | $11.22 | $13.49 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 51st of 51
$41.69
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.