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 $21.38 Median $21.38 Typical High $69.18 | Facility | None | $21.38 | $21.38 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $43.65 | Professional | None | $21.38 | $28.18 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $42.66 Typical High $112.20 | Facility | None | $27.54 | $42.66 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $63.10 | Professional | None | $10.00 | $16.98 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $66.07 Typical High $97.72 | Facility | None | $32.36 | $66.07 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $37.15 Typical High $48.98 | Professional | None | $19.95 | $37.15 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $120.23 | Professional | None | $35.48 | $48.98 | $120.23 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $14.45 Median $25.12 Typical High $67.61 | Professional | None | $14.45 | $25.12 | $67.61 |
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 $10.72 Median $13.49 Typical High $15.85 | Professional | 52 · Reduced service | $10.72 | $13.49 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $6.31 | Professional | 53 · Discontinued | $4.27 | $5.37 | $6.31 |
Where Georgia sits
The same service costs 4.1 times more in Kansas 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· 37th of 51
$28.18
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.