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 $10.23 Median $10.23 Typical High $28.18 | Facility | None | $10.23 | $10.23 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $15.14 | Professional | None | $10.23 | $12.88 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $19.95 Typical High $53.70 | Facility | None | $13.18 | $19.95 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $7.41 Typical High $28.18 | Professional | None | $4.47 | $7.41 | $28.18 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $33.88 Typical High $57.54 | Facility | None | $15.49 | $33.88 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $17.78 Typical High $23.99 | Professional | None | $8.91 | $17.78 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $52.48 | Professional | None | $16.98 | $23.44 | $52.48 |
United Setting Professional Modifier None Typical Low $6.92 Median $11.75 Typical High $32.36 | Professional | None | $6.92 | $11.75 | $32.36 |
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 $5.13 Median $6.17 Typical High $7.59 | Professional | 52 · Reduced service | $5.13 | $6.17 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.45 Typical High $3.02 | Professional | 53 · Discontinued | $2.04 | $2.45 | $3.02 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 42nd of 51
$12.59
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.