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 $5.37 Median $7.59 Typical High $14.79 | Facility | None | $5.37 | $7.59 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $14.13 | Professional | None | $5.37 | $6.92 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $11.48 | Professional | None | $2.00 | $2.00 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.92 Median $10.72 Typical High $27.54 | Facility | None | $6.92 | $10.72 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $4.17 Typical High $16.22 | Professional | None | $2.51 | $4.17 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
CareSource Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $7.94 | Professional | None | $5.25 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.78 Typical High $43.65 | Facility | None | $7.94 | $17.78 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $9.55 Typical High $12.30 | Professional | None | $4.90 | $9.55 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $29.51 | Professional | None | $8.91 | $12.02 | $29.51 |
United Setting Professional Modifier None Typical Low $3.63 Median $6.61 Typical High $16.98 | Professional | None | $3.63 | $6.61 | $16.98 |
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 $2.69 Median $3.39 Typical High $3.89 | Professional | 52 · Reduced service | $2.69 | $3.39 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.35 Typical High $1.55 | Professional | 53 · Discontinued | $1.07 | $1.35 | $1.55 |
Where Georgia sits
The same service costs 3.6 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· 36th of 51
$7.08
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.