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 $6.17 Median $6.17 Typical High $16.98 | Facility | None | $6.17 | $6.17 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $7.94 Typical High $8.91 | Professional | None | $6.17 | $7.94 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $12.30 Typical High $31.62 | Facility | None | $7.94 | $12.30 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $4.79 Typical High $18.20 | Professional | None | $2.88 | $4.79 | $18.20 |
CareSource Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $20.42 Typical High $48.98 | Facility | None | $9.12 | $20.42 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $10.72 Typical High $13.80 | Professional | None | $5.62 | $10.72 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $13.80 Typical High $33.88 | Professional | None | $10.23 | $13.80 | $33.88 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.76 Typical High $19.50 | Professional | None | $4.17 | $6.76 | $19.50 |
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 $3.09 Median $3.89 Typical High $4.47 | Professional | 52 · Reduced service | $3.09 | $3.89 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.55 Typical High $1.78 | Professional | 53 · Discontinued | $1.23 | $1.55 | $1.78 |
Where Georgia sits
The same service costs 3.6 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· 35th of 51
$8.13
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.