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 $5.89 Median $5.89 Typical High $16.22 | Facility | None | $5.89 | $5.89 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $8.51 | Professional | None | $5.89 | $7.41 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $11.48 Typical High $30.20 | Facility | None | $7.59 | $11.48 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $4.37 Typical High $16.22 | Professional | None | $2.57 | $4.37 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $19.50 Typical High $46.77 | Facility | None | $8.71 | $19.50 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $13.49 | Professional | None | $5.01 | $10.00 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $30.90 | Professional | None | $9.77 | $13.18 | $30.90 |
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 $3.98 Median $6.76 Typical High $18.62 | Professional | None | $3.98 | $6.76 | $18.62 |
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 $2.95 Median $3.55 Typical High $4.27 | Professional | 52 · Reduced service | $2.95 | $3.55 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.45 Typical High $1.70 | Professional | 53 · Discontinued | $1.17 | $1.45 | $1.70 |
Where Georgia sits
The same service costs 3.5 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· 36th of 51
$7.24
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.