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 $18.20 Median $18.20 Typical High $48.98 | Facility | None | $18.20 | $18.20 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $26.30 | Professional | None | $18.20 | $21.38 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $30.90 Typical High $95.50 | Facility | None | $21.88 | $30.90 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $36.31 | Professional | None | $6.92 | $11.48 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $60.26 Typical High $83.18 | Facility | None | $27.54 | $60.26 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $31.62 Typical High $41.69 | Professional | None | $12.30 | $31.62 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $74.13 | Professional | None | $30.20 | $41.69 | $74.13 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $57.54 | Professional | None | $11.75 | $16.60 | $57.54 |
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 $9.12 Median $10.96 Typical High $13.18 | Professional | 52 · Reduced service | $9.12 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.37 Typical High $5.37 | Professional | 53 · Discontinued | $3.63 | $4.37 | $5.37 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Alabama. 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
$19.50
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.