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 $14.13 Median $14.13 Typical High $38.90 | Facility | None | $14.13 | $14.13 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $20.42 | Professional | None | $14.13 | $16.98 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $26.30 Typical High $74.13 | Facility | None | $18.20 | $26.30 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $9.55 Typical High $37.15 | Professional | None | $5.89 | $9.55 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $46.77 Typical High $66.07 | Facility | None | $21.38 | $46.77 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $24.55 Typical High $32.36 | Professional | None | $11.75 | $24.55 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $70.79 | Professional | None | $23.44 | $32.36 | $70.79 |
United Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $44.67 | Professional | None | $8.91 | $14.13 | $44.67 |
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 $7.08 Median $8.51 Typical High $10.23 | Professional | 52 · Reduced service | $7.08 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.39 Typical High $4.17 | Professional | 53 · Discontinued | $2.82 | $3.39 | $4.17 |
Where Georgia sits
The same service costs 3.4 times more in Alaska 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· 44th of 51
$16.22
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.