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 $11.48 Median $11.48 Typical High $36.31 | Facility | None | $11.48 | $11.48 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $30.20 | Professional | None | $11.48 | $14.79 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $24.55 | Professional | None | $10.47 | $10.47 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $22.91 Typical High $58.88 | Facility | None | $14.79 | $22.91 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $8.91 Typical High $33.88 | Professional | None | $5.37 | $8.91 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $38.02 Typical High $57.54 | Facility | None | $16.98 | $38.02 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $19.95 Typical High $26.30 | Professional | None | $10.47 | $19.95 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $63.10 | Professional | None | $18.62 | $25.70 | $63.10 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.59 Typical High $36.31 | Professional | None | $7.24 | $12.59 | $36.31 |
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 $5.75 Median $7.24 Typical High $8.32 | Professional | 52 · Reduced service | $5.75 | $7.24 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.88 Typical High $3.31 | Professional | 53 · Discontinued | $2.29 | $2.88 | $3.31 |
Where Georgia sits
The same service costs 4.2 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· 37th of 51
$15.14
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.