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 $17.78 Median $17.78 Typical High $48.98 | Facility | None | $17.78 | $17.78 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $25.70 | Professional | None | $17.78 | $22.39 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $35.48 Typical High $91.20 | Facility | None | $22.91 | $35.48 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $13.80 Typical High $52.48 | Professional | None | $8.32 | $13.80 | $52.48 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $58.88 Typical High $81.28 | Facility | None | $26.30 | $58.88 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $30.90 Typical High $39.81 | Professional | None | $16.22 | $30.90 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $39.81 Typical High $97.72 | Professional | None | $29.51 | $39.81 | $97.72 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $11.22 Median $19.50 Typical High $56.23 | Professional | None | $11.22 | $19.50 | $56.23 |
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 $8.91 Median $11.22 Typical High $12.88 | Professional | 52 · Reduced service | $8.91 | $11.22 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.47 Typical High $5.13 | Professional | 53 · Discontinued | $3.55 | $4.47 | $5.13 |
Where Georgia sits
The same service costs 3.6 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· 31st of 51
$22.91
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.