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 $8.51 Median $8.51 Typical High $23.44 | Facility | None | $8.51 | $8.51 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $12.30 | Professional | None | $8.51 | $10.23 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $43.65 | Facility | None | $10.96 | $16.22 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $6.61 Typical High $22.91 | Professional | None | $3.63 | $6.61 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $28.18 Typical High $57.54 | Facility | None | $12.88 | $28.18 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $14.45 Typical High $19.50 | Professional | None | $7.24 | $14.45 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $42.66 | Professional | None | $14.13 | $19.05 | $42.66 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.32 Typical High $26.92 | Professional | None | $5.37 | $8.32 | $26.92 |
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 $4.27 Median $5.13 Typical High $6.17 | Professional | 52 · Reduced service | $4.27 | $5.13 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.04 Typical High $2.45 | Professional | 53 · Discontinued | $1.70 | $2.04 | $2.45 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 37th of 51
$10.23
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.