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 $46.77 | Facility | None | $16.98 | $16.98 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $24.55 | Professional | None | $16.98 | $21.88 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $33.88 Typical High $89.13 | Facility | None | $21.88 | $33.88 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $48.98 | Professional | None | $7.76 | $13.18 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $56.23 Typical High $77.62 | Facility | None | $25.70 | $56.23 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $29.51 Typical High $38.90 | Professional | None | $15.49 | $29.51 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $93.33 | Professional | None | $28.18 | $38.90 | $93.33 |
United Setting Professional Modifier None Typical Low $11.48 Median $18.20 Typical High $53.70 | Professional | None | $11.48 | $18.20 | $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 $10.72 Typical High $12.30 | Professional | 52 · Reduced service | $8.51 | $10.72 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.27 Typical High $5.01 | Professional | 53 · Discontinued | $3.39 | $4.27 | $5.01 |
Where Georgia sits
The same service costs 3.1 times more in Alaska 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
$21.88
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.