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 $40.74 Median $40.74 Typical High $109.65 | Facility | None | $40.74 | $40.74 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $58.88 | Professional | None | $40.74 | $48.98 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $67.61 Typical High $213.80 | Facility | None | $46.77 | $67.61 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $27.54 Typical High $69.18 | Professional | None | $15.49 | $27.54 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $100.00 Typical High $186.21 | Facility | None | $61.66 | $100.00 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $70.79 Typical High $89.13 | Professional | None | $21.38 | $70.79 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $125.89 | Professional | None | $67.61 | $93.33 | $125.89 |
United Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $128.82 | Professional | None | $21.38 | $33.88 | $128.82 |
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 $20.42 Median $24.55 Typical High $29.51 | Professional | 52 · Reduced service | $20.42 | $24.55 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.77 Typical High $12.02 | Professional | 53 · Discontinued | $8.13 | $9.77 | $12.02 |
Where Georgia sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 45th of 51
$42.66
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.