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 $11.75 Typical High $30.90 | Facility | None | $7.59 | $11.75 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.75 Median $4.68 Typical High $17.38 | Professional | None | $2.75 | $4.68 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $19.50 Typical High $46.77 | Facility | None | $8.91 | $19.50 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $10.00 Typical High $13.49 | Professional | None | $5.50 | $10.00 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $33.11 | Professional | None | $9.77 | $13.18 | $33.11 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.46 Typical High $18.62 | Professional | None | $3.98 | $6.46 | $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 $3.72 Typical High $4.27 | Professional | 52 · Reduced service | $2.95 | $3.72 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.51 Typical High $1.74 | Professional | 53 · Discontinued | $1.17 | $1.51 | $1.74 |
Where Georgia sits
The same service costs 3.8 times more in Kansas than in Oklahoma. 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
$7.76
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.