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 $6.17 Median $6.17 Typical High $17.38 | Facility | None | $6.17 | $6.17 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $7.41 Typical High $9.12 | Professional | None | $6.17 | $7.41 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $10.72 Typical High $32.36 | Facility | None | $7.41 | $10.72 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $4.17 Typical High $13.49 | Professional | None | $2.34 | $4.17 | $13.49 |
CareSource Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.42 Typical High $50.12 | Facility | None | $9.33 | $20.42 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $10.72 Typical High $14.45 | Professional | None | $4.27 | $10.72 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $25.70 | Professional | None | $10.23 | $14.13 | $25.70 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.62 Typical High $19.50 | Professional | None | $4.07 | $5.62 | $19.50 |
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 $3.09 Median $3.72 Typical High $4.57 | Professional | 52 · Reduced service | $3.09 | $3.72 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.51 Typical High $1.82 | Professional | 53 · Discontinued | $1.23 | $1.51 | $1.82 |
Where Georgia sits
The same service costs 5.9 times more in Kansas than in Nebraska. 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· 45th of 51
$7.08
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.