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 $2.69 Median $2.69 Typical High $7.41 | Facility | None | $2.69 | $2.69 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.16 Typical High $3.98 | Professional | None | $2.69 | $3.16 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.24 Median $4.57 Typical High $13.80 | Facility | None | $3.24 | $4.57 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.00 Median $2.40 Typical High $4.68 | Professional | None | $1.00 | $2.40 | $4.68 |
CareSource Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.91 Typical High $20.42 | Facility | None | $3.98 | $8.91 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $2.63 Typical High $5.62 | Professional | None | $1.78 | $2.63 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $8.71 | Professional | None | $4.37 | $6.03 | $8.71 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $7.08 | Professional | None | $2.40 | $3.47 | $7.08 |
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 $1.35 Median $1.62 Typical High $1.95 | Professional | 52 · Reduced service | $1.35 | $1.62 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.65 Typical High $0.78 | Professional | 53 · Discontinued | $0.52 | $0.65 | $0.78 |
Where Georgia sits
The same service costs 3.3 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· 50th of 51
$2.82
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.