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 $11.75 Median $11.75 Typical High $33.11 | Facility | None | $11.75 | $11.75 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $17.38 | Professional | None | $11.75 | $14.13 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $20.89 Typical High $61.66 | Facility | None | $14.79 | $20.89 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $7.41 Typical High $30.20 | Professional | None | $4.68 | $7.41 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $38.90 Typical High $57.54 | Facility | None | $17.78 | $38.90 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $20.42 Typical High $26.92 | Professional | None | $9.33 | $20.42 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $56.23 | Professional | None | $19.50 | $26.92 | $56.23 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $37.15 | Professional | None | $7.94 | $10.72 | $37.15 |
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 $5.89 Median $7.08 Typical High $8.71 | Professional | 52 · Reduced service | $5.89 | $7.08 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.82 Typical High $3.47 | Professional | 53 · Discontinued | $2.34 | $2.82 | $3.47 |
Where Georgia sits
The same service costs 3.8 times more in Kansas 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· 49th of 51
$12.30
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.