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 $12.88 Median $12.88 Typical High $35.48 | Facility | None | $12.88 | $12.88 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $18.62 | Professional | None | $12.88 | $16.60 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $25.70 Typical High $67.61 | Facility | None | $16.60 | $25.70 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $10.23 Typical High $38.02 | Professional | None | $6.03 | $10.23 | $38.02 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $42.66 Typical High $60.26 | Facility | None | $19.50 | $42.66 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $22.39 Typical High $29.51 | Professional | None | $12.02 | $22.39 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $72.44 | Professional | None | $21.38 | $29.51 | $72.44 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $8.71 Median $14.13 Typical High $40.74 | Professional | None | $8.71 | $14.13 | $40.74 |
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 $6.46 Median $8.13 Typical High $9.33 | Professional | 52 · Reduced service | $6.46 | $8.13 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.24 Typical High $3.80 | Professional | 53 · Discontinued | $2.57 | $3.24 | $3.80 |
Where Georgia sits
The same service costs 3.0 times more in Alaska 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
$16.98
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.