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 $42.66 Median $42.66 Typical High $117.49 | Facility | None | $42.66 | $42.66 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $63.10 | Professional | None | $42.66 | $54.95 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $223.87 | Facility | None | $56.23 | $85.11 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $33.88 Typical High $125.89 | Professional | None | $19.95 | $33.88 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $125.89 Typical High $194.98 | Facility | None | $64.57 | $125.89 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $74.13 Typical High $97.72 | Professional | None | $39.81 | $74.13 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $239.88 | Professional | None | $70.79 | $97.72 | $239.88 |
United Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $138.04 | Professional | None | $28.84 | $47.86 | $138.04 |
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 $21.38 Median $26.92 Typical High $30.90 | Professional | 52 · Reduced service | $21.38 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.72 Typical High $12.59 | Professional | 53 · Discontinued | $8.51 | $10.72 | $12.59 |
Where Georgia sits
The same service costs 3.8 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· 38th of 51
$56.23
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.