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 $13.80 Median $13.80 Typical High $38.02 | Facility | None | $13.80 | $13.80 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $20.42 | Professional | None | $13.80 | $17.38 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $70.79 | Facility | None | $17.78 | $27.54 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $10.72 Typical High $40.74 | Professional | None | $6.46 | $10.72 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $45.71 Typical High $63.10 | Facility | None | $20.42 | $45.71 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $23.99 Typical High $31.62 | Professional | None | $12.59 | $23.99 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $75.86 | Professional | None | $22.91 | $30.90 | $75.86 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $43.65 | Professional | None | $9.33 | $15.14 | $43.65 |
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 $6.92 Median $8.71 Typical High $10.00 | Professional | 52 · Reduced service | $6.92 | $8.71 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.47 Typical High $3.98 | Professional | 53 · Discontinued | $2.75 | $3.47 | $3.98 |
Where Georgia sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$17.38
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.