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 $12.59 Median $12.59 Typical High $33.88 | Facility | None | $12.59 | $12.59 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $18.20 | Professional | None | $12.59 | $15.85 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $66.07 | Facility | None | $16.22 | $25.12 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $33.88 | Professional | None | $5.89 | $9.33 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $41.69 Typical High $58.88 | Facility | None | $19.05 | $41.69 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $21.38 Typical High $28.84 | Professional | None | $11.48 | $21.38 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $70.79 | Professional | None | $20.89 | $28.18 | $70.79 |
United Setting Professional Modifier None Typical Low $8.51 Median $14.79 Typical High $40.74 | Professional | None | $8.51 | $14.79 | $40.74 |
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 $6.31 Median $7.94 Typical High $9.12 | Professional | 52 · Reduced service | $6.31 | $7.94 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.16 Typical High $3.63 | Professional | 53 · Discontinued | $2.51 | $3.16 | $3.63 |
Where Georgia sits
The same service costs 7.1 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· 49th of 51
$13.80
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.