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 $16.98 Median $16.98 Typical High $47.86 | Facility | None | $16.98 | $16.98 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $25.12 | Professional | None | $16.98 | $21.88 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $34.67 Typical High $89.13 | Facility | None | $22.39 | $34.67 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $46.77 | Professional | None | $7.94 | $12.88 | $46.77 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $56.23 Typical High $79.43 | Facility | None | $25.70 | $56.23 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $29.51 Typical High $38.90 | Professional | None | $15.85 | $29.51 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $95.50 | Professional | None | $28.18 | $38.90 | $95.50 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $53.70 | Professional | None | $10.96 | $17.78 | $53.70 |
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 $8.51 Median $10.96 Typical High $12.59 | Professional | 52 · Reduced service | $8.51 | $10.96 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.37 Typical High $5.01 | Professional | 53 · Discontinued | $3.47 | $4.37 | $5.01 |
Where Georgia sits
The same service costs 4.0 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· 35th of 51
$22.39
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.