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 $9.55 Median $9.55 Typical High $26.92 | Facility | None | $9.55 | $9.55 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $14.45 | Professional | None | $9.55 | $11.75 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $17.78 Typical High $50.12 | Facility | None | $12.30 | $17.78 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $7.24 Typical High $25.70 | Professional | None | $3.98 | $7.24 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $14.45 Typical High $14.45 | Professional | None | $9.33 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $31.62 Typical High $57.54 | Facility | None | $14.45 | $31.62 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $16.98 Typical High $22.39 | Professional | None | $7.94 | $16.98 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $21.88 Typical High $47.86 | Professional | None | $15.85 | $21.88 | $47.86 |
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 $6.46 Median $10.47 Typical High $30.20 | Professional | None | $6.46 | $10.47 | $30.20 |
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 $4.79 Median $5.75 Typical High $7.08 | Professional | 52 · Reduced service | $4.79 | $5.75 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.29 Typical High $2.82 | Professional | 53 · Discontinued | $1.91 | $2.29 | $2.82 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 44th of 51
$11.48
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.