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 $18.62 Median $18.62 Typical High $50.12 | Facility | None | $18.62 | $18.62 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $26.92 | Professional | None | $18.62 | $22.39 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $39.81 | Professional | None | $16.98 | $16.98 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $34.67 Typical High $97.72 | Facility | None | $25.12 | $34.67 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $20.89 Typical High $29.51 | Professional | None | $7.08 | $20.89 | $29.51 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $61.66 Typical High $85.11 | Facility | None | $28.18 | $61.66 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $31.62 Typical High $42.66 | Professional | None | $12.30 | $31.62 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $53.70 | Professional | None | $30.90 | $39.81 | $53.70 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $58.88 | Professional | None | $11.75 | $16.60 | $58.88 |
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 $9.33 Median $10.96 Typical High $13.49 | Professional | 52 · Reduced service | $9.33 | $10.96 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.37 Typical High $5.37 | Professional | 53 · Discontinued | $3.72 | $4.37 | $5.37 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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· 35th of 51
$22.39
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.