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 $8.91 Median $8.91 Typical High $27.54 | Facility | None | $8.91 | $8.91 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $11.48 Typical High $13.49 | Professional | None | $8.91 | $11.48 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $46.77 | Facility | None | $11.48 | $17.78 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $7.08 Typical High $26.30 | Professional | None | $4.17 | $7.08 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $29.51 Typical High $57.54 | Facility | None | $13.49 | $29.51 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $20.42 | Professional | None | $8.32 | $15.14 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $50.12 | Professional | None | $14.79 | $19.95 | $50.12 |
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 $6.03 Median $10.47 Typical High $28.18 | Professional | None | $6.03 | $10.47 | $28.18 |
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 $4.47 Median $5.62 Typical High $6.46 | Professional | 52 · Reduced service | $4.47 | $5.62 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.24 Typical High $2.57 | Professional | 53 · Discontinued | $1.78 | $2.24 | $2.57 |
Where Georgia sits
The same service costs 3.1 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
$11.75
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.