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 $12.30 Median $12.30 Typical High $33.88 | Facility | None | $12.30 | $12.30 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $17.78 | Professional | None | $12.30 | $15.85 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $24.55 Typical High $64.57 | Facility | None | $15.85 | $24.55 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $36.31 | Professional | None | $5.75 | $9.12 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $40.74 Typical High $57.54 | Facility | None | $18.62 | $40.74 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $20.89 Typical High $28.18 | Professional | None | $11.48 | $20.89 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $69.18 | Professional | None | $20.42 | $28.18 | $69.18 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $8.32 Median $13.49 Typical High $38.90 | Professional | None | $8.32 | $13.49 | $38.90 |
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 $6.17 Median $7.76 Typical High $8.91 | Professional | 52 · Reduced service | $6.17 | $7.76 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.09 Typical High $3.63 | Professional | 53 · Discontinued | $2.45 | $3.09 | $3.63 |
Where Georgia sits
The same service costs 3.2 times more in Kansas than in Maryland. 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· 34th of 51
$16.22
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.