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 $13.80 Median $13.80 Typical High $38.90 | Facility | None | $13.80 | $13.80 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $20.42 | Professional | None | $13.80 | $16.60 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $25.70 Typical High $72.44 | Facility | None | $18.20 | $25.70 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $37.15 | Professional | None | $5.89 | $9.33 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $45.71 Typical High $64.57 | Facility | None | $20.89 | $45.71 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $24.55 Typical High $32.36 | Professional | None | $11.48 | $24.55 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $31.62 Typical High $69.18 | Professional | None | $22.91 | $31.62 | $69.18 |
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 $9.33 Median $13.49 Typical High $43.65 | Professional | None | $9.33 | $13.49 | $43.65 |
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 $6.92 Median $8.32 Typical High $10.23 | Professional | 52 · Reduced service | $6.92 | $8.32 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.39 Typical High $4.07 | Professional | 53 · Discontinued | $2.82 | $3.39 | $4.07 |
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· 44th of 51
$16.22
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.