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 $19.50 Median $19.50 Typical High $53.70 | Facility | None | $19.50 | $19.50 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $28.18 | Professional | None | $19.50 | $25.12 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $102.33 | Facility | None | $25.12 | $38.90 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $15.49 Typical High $57.54 | Professional | None | $9.12 | $15.49 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $64.57 Typical High $89.13 | Facility | None | $29.51 | $64.57 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $33.88 Typical High $44.67 | Professional | None | $18.20 | $33.88 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $43.65 Typical High $107.15 | Professional | None | $32.36 | $43.65 | $107.15 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $61.66 | Professional | None | $13.18 | $23.99 | $61.66 |
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 $9.77 Median $12.30 Typical High $14.13 | Professional | 52 · Reduced service | $9.77 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.90 Typical High $5.62 | Professional | 53 · Discontinued | $3.89 | $4.90 | $5.62 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 35th of 51
$25.70
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.