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 $9.12 Median $9.12 Typical High $25.70 | Facility | None | $9.12 | $9.12 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $13.49 | Professional | None | $9.12 | $11.75 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $47.86 | Facility | None | $12.02 | $18.62 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $7.24 Typical High $26.92 | Professional | None | $4.27 | $7.24 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $57.54 | Facility | None | $13.80 | $30.20 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $16.22 Typical High $21.38 | Professional | None | $8.51 | $16.22 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $51.29 | Professional | None | $15.14 | $20.89 | $51.29 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $29.51 | Professional | None | $6.31 | $10.00 | $29.51 |
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 $4.57 Median $5.89 Typical High $6.76 | Professional | 52 · Reduced service | $4.57 | $5.89 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.34 Typical High $2.69 | Professional | 53 · Discontinued | $1.82 | $2.34 | $2.69 |
Where Georgia sits
The same service costs 3.4 times more in Kansas than in Maryland. 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
$12.02
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.