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 $6.46 Median $6.46 Typical High $18.20 | Facility | None | $6.46 | $6.46 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $9.55 | Professional | None | $6.46 | $7.94 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $12.59 Typical High $33.88 | Facility | None | $8.51 | $12.59 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $4.79 Typical High $17.78 | Professional | None | $2.82 | $4.79 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $21.38 Typical High $52.48 | Facility | None | $9.77 | $21.38 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $11.22 Typical High $15.14 | Professional | None | $5.62 | $11.22 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $33.88 | Professional | None | $10.72 | $14.79 | $33.88 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.41 Typical High $20.42 | Professional | None | $4.37 | $7.41 | $20.42 |
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 $3.24 Median $3.98 Typical High $4.79 | Professional | 52 · Reduced service | $3.24 | $3.98 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.58 Typical High $1.91 | Professional | 53 · Discontinued | $1.29 | $1.58 | $1.91 |
Where Georgia sits
The same service costs 4.4 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· 36th of 51
$8.13
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.