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 $13.18 Median $13.18 Typical High $36.31 | Facility | None | $13.18 | $13.18 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $19.05 | Professional | None | $13.18 | $16.60 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $28.18 | Professional | None | $12.02 | $12.02 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.32 Median $22.39 Typical High $67.61 | Facility | None | $8.32 | $22.39 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $8.91 Typical High $14.79 | Professional | None | $5.62 | $8.91 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $43.65 Typical High $60.26 | Facility | None | $19.95 | $43.65 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $22.91 Typical High $30.20 | Professional | None | $11.22 | $22.91 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $37.15 | Professional | None | $21.88 | $28.18 | $37.15 |
United Setting Professional Modifier None Typical Low $4.07 Median $11.75 Typical High $41.69 | Professional | None | $4.07 | $11.75 | $41.69 |
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 $6.61 Median $7.94 Typical High $9.55 | Professional | 52 · Reduced service | $6.61 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.16 Typical High $3.80 | Professional | 53 · Discontinued | $2.63 | $3.16 | $3.80 |
Where Georgia sits
The same service costs 5.5 times more in Kansas than in Georgia. 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· 51st of 51
$9.33
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.