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 $9.33 Median $9.33 Typical High $25.12 | Facility | None | $9.33 | $9.33 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $13.80 | Professional | None | $9.33 | $10.96 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.32 Median $15.49 Typical High $48.98 | Facility | None | $8.32 | $15.49 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $6.03 Typical High $12.59 | Professional | None | $3.55 | $6.03 | $12.59 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $57.54 | Facility | None | $14.13 | $30.90 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $12.59 Typical High $19.95 | Professional | None | $3.63 | $12.59 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $26.92 | Professional | None | $15.49 | $21.38 | $26.92 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $3.98 Median $8.32 Typical High $29.51 | Professional | None | $3.98 | $8.32 | $29.51 |
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 $4.68 Median $5.62 Typical High $6.76 | Professional | 52 · Reduced service | $4.68 | $5.62 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.24 Typical High $2.75 | Professional | 53 · Discontinued | $1.86 | $2.24 | $2.75 |
Where Georgia sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 49th of 51
$8.32
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.