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 $38.90 | Facility | None | $14.13 | $14.13 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $20.42 | Professional | None | $14.13 | $17.78 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $28.18 Typical High $72.44 | Facility | None | $18.20 | $28.18 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $10.96 Typical High $40.74 | Professional | None | $6.61 | $10.96 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $46.77 Typical High $64.57 | Facility | None | $20.89 | $46.77 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $24.55 Typical High $32.36 | Professional | None | $12.88 | $24.55 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $77.62 | Professional | None | $23.44 | $31.62 | $77.62 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $44.67 | Professional | None | $9.55 | $15.49 | $44.67 |
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 $8.91 Typical High $10.23 | Professional | 52 · Reduced service | $7.08 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.55 Typical High $4.07 | Professional | 53 · Discontinued | $2.82 | $3.55 | $4.07 |
Where Georgia sits
The same service costs 3.0 times more in Alaska 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
$18.20
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.