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 $19.05 Median $19.05 Typical High $53.70 | Facility | None | $19.05 | $19.05 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $28.18 | Professional | None | $19.05 | $24.55 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $38.90 Typical High $100.00 | Facility | None | $24.55 | $38.90 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $15.14 Typical High $56.23 | Professional | None | $8.91 | $15.14 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $63.10 Typical High $87.10 | Facility | None | $28.84 | $63.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $33.11 Typical High $43.65 | Professional | None | $17.78 | $33.11 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $107.15 | Professional | None | $31.62 | $43.65 | $107.15 |
United Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $60.26 | Professional | None | $12.88 | $21.88 | $60.26 |
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 $9.55 Median $12.02 Typical High $14.13 | Professional | 52 · Reduced service | $9.55 | $12.02 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.79 Typical High $5.62 | Professional | 53 · Discontinued | $3.80 | $4.79 | $5.62 |
Where Georgia sits
The same service costs 5.5 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· 33rd of 51
$25.12
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.