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 $8.13 Median $8.13 Typical High $22.39 | Facility | None | $8.13 | $8.13 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $10.47 Typical High $11.75 | Professional | None | $8.13 | $10.47 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $16.22 Typical High $42.66 | Facility | None | $10.47 | $16.22 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $6.03 Typical High $23.99 | Professional | None | $3.80 | $6.03 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $26.92 Typical High $57.54 | Facility | None | $12.30 | $26.92 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $14.13 Typical High $18.62 | Professional | None | $7.41 | $14.13 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $45.71 | Professional | None | $13.49 | $18.62 | $45.71 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.91 Typical High $25.70 | Professional | None | $5.13 | $8.91 | $25.70 |
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 $4.07 Median $5.13 Typical High $5.89 | Professional | 52 · Reduced service | $4.07 | $5.13 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $2.04 Typical High $2.40 | Professional | 53 · Discontinued | $1.62 | $2.04 | $2.40 |
Where Georgia sits
The same service costs 3.2 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
$10.72
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.