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 $3.39 Median $4.79 Typical High $10.47 | Facility | None | $3.39 | $4.79 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.47 Typical High $8.91 | Professional | None | $3.39 | $4.47 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $7.41 | Professional | None | $3.16 | $3.16 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $6.76 Typical High $17.78 | Facility | None | $4.37 | $6.76 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $2.51 Typical High $10.00 | Professional | None | $1.58 | $2.51 | $10.00 |
CareSource Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $11.22 Typical High $28.18 | Facility | None | $5.13 | $11.22 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $5.75 Typical High $7.76 | Professional | None | $3.24 | $5.75 | $7.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $18.62 | Professional | None | $5.62 | $7.76 | $18.62 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.72 Typical High $10.72 | Professional | None | $2.14 | $3.72 | $10.72 |
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 $1.70 Median $2.14 Typical High $2.45 | Professional | 52 · Reduced service | $1.70 | $2.14 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.85 Typical High $1.00 | Professional | 53 · Discontinued | $0.68 | $0.85 | $1.00 |
Where Georgia sits
The same service costs 7.2 times more in Alaska than in Kentucky. 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
$4.47
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.