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 $14.79 Median $14.79 Typical High $41.69 | Facility | None | $14.79 | $14.79 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $21.88 | Professional | None | $14.79 | $17.78 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $26.92 Typical High $77.62 | Facility | None | $19.05 | $26.92 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $10.23 Typical High $38.02 | Professional | None | $6.03 | $10.23 | $38.02 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $48.98 Typical High $67.61 | Facility | None | $22.39 | $48.98 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $25.70 Typical High $33.88 | Professional | None | $12.02 | $25.70 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $72.44 | Professional | None | $24.55 | $33.88 | $72.44 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $9.33 Median $14.13 Typical High $46.77 | Professional | None | $9.33 | $14.13 | $46.77 |
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 $7.41 Median $8.91 Typical High $10.96 | Professional | 52 · Reduced service | $7.41 | $8.91 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.63 Typical High $4.37 | Professional | 53 · Discontinued | $2.95 | $3.63 | $4.37 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in New York. 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· 43rd of 51
$17.38
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.