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 $10.47 Median $10.47 Typical High $29.51 | Facility | None | $10.47 | $10.47 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $15.49 | Professional | None | $10.47 | $12.88 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $54.95 | Facility | None | $13.80 | $20.42 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $7.76 Typical High $28.84 | Professional | None | $4.68 | $7.76 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $57.54 | Facility | None | $15.85 | $34.67 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $18.20 Typical High $23.99 | Professional | None | $9.12 | $18.20 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $23.99 Typical High $54.95 | Professional | None | $17.38 | $23.99 | $54.95 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.47 Typical High $33.11 | Professional | None | $6.61 | $10.47 | $33.11 |
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 $5.25 Median $6.46 Typical High $7.76 | Professional | 52 · Reduced service | $5.25 | $6.46 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.57 Typical High $3.09 | Professional | 53 · Discontinued | $2.09 | $2.57 | $3.09 |
Where Georgia sits
The same service costs 3.4 times more in Alaska than in Maine. 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
$13.18
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.