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 $15.14 Median $15.14 Typical High $41.69 | Facility | None | $15.14 | $15.14 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $21.88 | Professional | None | $15.14 | $19.05 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $30.20 Typical High $77.62 | Facility | None | $19.50 | $30.20 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $44.67 | Professional | None | $7.08 | $11.75 | $44.67 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $50.12 Typical High $69.18 | Facility | None | $22.91 | $50.12 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $26.30 Typical High $34.67 | Professional | None | $13.80 | $26.30 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $83.18 | Professional | None | $25.12 | $33.88 | $83.18 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $10.23 Median $18.62 Typical High $47.86 | Professional | None | $10.23 | $18.62 | $47.86 |
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 $7.59 Median $9.55 Typical High $10.96 | Professional | 52 · Reduced service | $7.59 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.80 Typical High $4.37 | Professional | 53 · Discontinued | $3.02 | $3.80 | $4.37 |
Where Georgia sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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· 35th of 51
$19.95
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.