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 $8.71 Median $8.71 Typical High $23.44 | Facility | None | $8.71 | $8.71 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $12.88 | Professional | None | $8.71 | $10.47 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $14.45 Typical High $45.71 | Facility | None | $10.47 | $14.45 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $5.89 Typical High $15.49 | Professional | None | $3.31 | $5.89 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $28.84 Typical High $57.54 | Facility | None | $13.18 | $28.84 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $15.14 Typical High $19.05 | Professional | None | $4.79 | $15.14 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $28.84 | Professional | None | $14.45 | $19.95 | $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 $5.13 Median $7.24 Typical High $27.54 | Professional | None | $5.13 | $7.24 | $27.54 |
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 $4.37 Median $5.25 Typical High $6.31 | Professional | 52 · Reduced service | $4.37 | $5.25 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $2.09 Typical High $2.51 | Professional | 53 · Discontinued | $1.74 | $2.09 | $2.51 |
Where Georgia sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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· 46th of 51
$9.12
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.