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 $12.59 Median $12.59 Typical High $34.67 | Facility | None | $12.59 | $12.59 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $18.20 | Professional | None | $12.59 | $14.79 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $20.89 Typical High $64.57 | Facility | None | $15.14 | $20.89 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $8.51 Typical High $26.92 | Professional | None | $4.68 | $8.51 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $41.69 Typical High $57.54 | Facility | None | $18.62 | $41.69 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $21.38 Typical High $28.18 | Professional | None | $8.32 | $21.38 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $48.98 | Professional | None | $20.42 | $28.18 | $48.98 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $39.81 | Professional | None | $7.94 | $11.22 | $39.81 |
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 $6.31 Median $7.59 Typical High $9.12 | Professional | 52 · Reduced service | $6.31 | $7.59 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.02 Typical High $3.63 | Professional | 53 · Discontinued | $2.51 | $3.02 | $3.63 |
Where Georgia sits
The same service costs 3.6 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· 39th of 51
$14.45
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.