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 $2.63 Median $2.63 Typical High $7.41 | Facility | None | $2.63 | $2.63 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.16 Typical High $3.89 | Professional | None | $2.63 | $3.16 | $3.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.47 Median $5.13 Typical High $13.80 | Facility | None | $3.47 | $5.13 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $1.82 Typical High $6.61 | Professional | None | $1.12 | $1.82 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.71 Typical High $20.42 | Facility | None | $3.98 | $8.71 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $4.57 Typical High $6.17 | Professional | None | $2.29 | $4.57 | $6.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $13.49 | Professional | None | $4.37 | $6.03 | $13.49 |
United Setting Professional Modifier None Typical Low $1.78 Median $3.02 Typical High $8.32 | Professional | None | $1.78 | $3.02 | $8.32 |
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 $1.32 Median $1.58 Typical High $1.95 | Professional | 52 · Reduced service | $1.32 | $1.58 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.65 Typical High $0.78 | Professional | 53 · Discontinued | $0.52 | $0.65 | $0.78 |
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· 50th of 51
$2.88
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.