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 $9.33 Median $9.33 Typical High $26.30 | Facility | None | $9.33 | $9.33 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $13.80 | Professional | None | $9.33 | $10.96 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $15.49 Typical High $48.98 | Facility | None | $11.22 | $15.49 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $6.31 Typical High $17.38 | Professional | None | $3.55 | $6.31 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $57.54 | Facility | None | $14.13 | $30.90 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $16.60 Typical High $20.42 | Professional | None | $5.37 | $16.60 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $31.62 | Professional | None | $15.49 | $21.38 | $31.62 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $29.51 | Professional | None | $5.75 | $7.76 | $29.51 |
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 $4.68 Median $5.62 Typical High $6.92 | Professional | 52 · Reduced service | $4.68 | $5.62 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.24 Typical High $2.75 | Professional | 53 · Discontinued | $1.86 | $2.24 | $2.75 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 47th of 51
$9.77
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.