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 $3.02 Median $3.02 Typical High $8.32 | Facility | None | $3.02 | $3.02 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.80 Typical High $4.47 | Professional | None | $3.02 | $3.80 | $4.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.89 Median $6.03 Typical High $15.85 | Facility | None | $3.89 | $6.03 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.41 Median $2.24 Typical High $8.51 | Professional | None | $1.41 | $2.24 | $8.51 |
CareSource Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $10.00 Typical High $24.55 | Facility | None | $4.57 | $10.00 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $5.37 Typical High $6.76 | Professional | None | $2.75 | $5.37 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $16.98 | Professional | None | $5.01 | $6.92 | $16.98 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.31 Typical High $9.55 | Professional | None | $2.04 | $3.31 | $9.55 |
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 $1.51 Median $1.95 Typical High $2.19 | Professional | 52 · Reduced service | $1.51 | $1.95 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.78 Typical High $0.87 | Professional | 53 · Discontinued | $0.62 | $0.78 | $0.87 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Connecticut. 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
$3.80
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.