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 $6.46 Median $6.46 Typical High $17.38 | Facility | None | $6.46 | $6.46 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $8.51 Typical High $12.88 | Professional | None | $6.46 | $8.51 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $14.13 | Professional | None | $5.89 | $5.89 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.32 Median $11.75 Typical High $33.88 | Facility | None | $8.32 | $11.75 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $5.13 Typical High $15.49 | Professional | None | $3.02 | $5.13 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $21.38 Typical High $52.48 | Facility | None | $9.77 | $21.38 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $11.22 Typical High $15.14 | Professional | None | $6.03 | $11.22 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $28.84 | Professional | None | $10.72 | $14.45 | $28.84 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.46 Typical High $20.42 | Professional | None | $4.37 | $6.46 | $20.42 |
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 $3.24 Median $4.07 Typical High $4.68 | Professional | 52 · Reduced service | $3.24 | $4.07 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.66 Typical High $1.86 | Professional | 53 · Discontinued | $1.29 | $1.66 | $1.86 |
Where Georgia sits
The same service costs 4.4 times more in Kansas than in Alabama. 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· 35th of 51
$8.32
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.