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 $16.22 Median $16.22 Typical High $45.71 | Facility | None | $16.22 | $16.22 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $23.99 | Professional | None | $16.22 | $20.89 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $83.18 | Facility | None | $20.89 | $32.36 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $46.77 | Professional | None | $7.59 | $12.59 | $46.77 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $53.70 Typical High $74.13 | Facility | None | $23.99 | $53.70 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $35.48 | Professional | None | $15.14 | $17.38 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $89.13 | Professional | None | $26.30 | $36.31 | $89.13 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $51.29 | Professional | None | $10.96 | $17.78 | $51.29 |
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 $7.94 Median $10.23 Typical High $11.75 | Professional | 52 · Reduced service | $7.94 | $10.23 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $4.07 Typical High $4.68 | Professional | 53 · Discontinued | $3.24 | $4.07 | $4.68 |
Where Georgia sits
The same service costs 3.0 times more in Alaska 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· 34th of 51
$20.89
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.