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 $8.51 Median $8.51 Typical High $23.44 | Facility | None | $8.51 | $8.51 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $12.30 | Professional | None | $8.51 | $10.72 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $16.98 Typical High $43.65 | Facility | None | $10.96 | $16.98 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $6.61 Typical High $24.55 | Professional | None | $3.98 | $6.61 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $28.18 Typical High $57.54 | Facility | None | $12.59 | $28.18 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $19.05 | Professional | None | $7.76 | $14.45 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $46.77 | Professional | None | $13.80 | $19.05 | $46.77 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $26.92 | Professional | None | $5.75 | $9.33 | $26.92 |
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 $4.27 Median $5.37 Typical High $6.17 | Professional | 52 · Reduced service | $4.27 | $5.37 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.14 Typical High $2.45 | Professional | 53 · Discontinued | $1.70 | $2.14 | $2.45 |
Where Georgia sits
The same service costs 3.3 times more in Alaska than in Nebraska. 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· 36th of 51
$10.96
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.