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 $14.13 Median $14.13 Typical High $39.81 | Facility | None | $14.13 | $14.13 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $21.38 | Professional | None | $14.13 | $18.20 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $74.13 | Facility | None | $18.62 | $28.84 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $11.22 Typical High $41.69 | Professional | None | $6.61 | $11.22 | $41.69 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $46.77 Typical High $66.07 | Facility | None | $21.38 | $46.77 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $24.55 Typical High $32.36 | Professional | None | $13.18 | $24.55 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $79.43 | Professional | None | $23.44 | $32.36 | $79.43 |
United Setting Professional Modifier None Typical Low $9.12 Median $15.85 Typical High $45.71 | Professional | None | $9.12 | $15.85 | $45.71 |
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 $7.08 Median $9.12 Typical High $10.47 | Professional | 52 · Reduced service | $7.08 | $9.12 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.63 Typical High $4.17 | Professional | 53 · Discontinued | $2.88 | $3.63 | $4.17 |
Where Georgia sits
The same service costs 3.0 times more in Alaska than in Texas. 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
$18.62
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.