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 $5.25 Median $5.25 Typical High $14.45 | Facility | None | $5.25 | $5.25 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $6.76 Typical High $7.59 | Professional | None | $5.25 | $6.76 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $10.47 Typical High $27.54 | Facility | None | $6.76 | $10.47 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $4.07 Typical High $15.49 | Professional | None | $2.45 | $4.07 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.38 Typical High $43.65 | Facility | None | $7.94 | $17.38 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $9.12 Typical High $11.75 | Professional | None | $4.90 | $9.12 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $28.84 | Professional | None | $8.71 | $11.75 | $28.84 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $3.55 Median $5.75 Typical High $16.60 | Professional | None | $3.55 | $5.75 | $16.60 |
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 $2.63 Median $3.31 Typical High $3.80 | Professional | 52 · Reduced service | $2.63 | $3.31 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.32 Typical High $1.51 | Professional | 53 · Discontinued | $1.05 | $1.32 | $1.51 |
Where Georgia sits
The same service costs 4.1 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· 36th of 51
$6.92
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.