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 $14.79 Median $14.79 Typical High $39.81 | Facility | None | $14.79 | $14.79 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $21.38 | Professional | None | $14.79 | $17.38 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.32 Median $24.55 Typical High $75.86 | Facility | None | $8.32 | $24.55 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $8.91 Typical High $16.98 | Professional | None | $5.62 | $8.91 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $48.98 Typical High $67.61 | Facility | None | $22.39 | $48.98 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $32.36 | Professional | None | $10.23 | $12.88 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $41.69 | Professional | None | $22.39 | $31.62 | $41.69 |
United Setting Professional Modifier None Typical Low $4.07 Median $12.30 Typical High $46.77 | Professional | None | $4.07 | $12.30 | $46.77 |
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 $7.41 Median $8.91 Typical High $10.72 | Professional | 52 · Reduced service | $7.41 | $8.91 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.55 Typical High $4.27 | Professional | 53 · Discontinued | $2.95 | $3.55 | $4.27 |
Where Georgia sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 51st of 51
$10.00
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.