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 $11.22 Median $11.22 Typical High $31.62 | Facility | None | $11.22 | $11.22 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.79 Typical High $16.98 | Professional | None | $11.22 | $14.79 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $22.91 Typical High $54.95 | Facility | None | $14.45 | $22.91 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $9.55 Typical High $38.90 | Professional | None | $5.25 | $9.55 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $11.22 | Facility | None | $10.00 | $10.00 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $37.15 Typical High $57.54 | Facility | None | $16.98 | $37.15 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $50.12 | Professional | None | $19.05 | $20.89 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $63.10 | Professional | None | $18.62 | $25.70 | $63.10 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $37.15 | Professional | None | $7.08 | $10.23 | $37.15 |
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 $5.62 Median $7.08 Typical High $8.32 | Professional | 52 · Reduced service | $5.62 | $7.08 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.88 Typical High $3.31 | Professional | 53 · Discontinued | $2.24 | $2.88 | $3.31 |
Where Georgia sits
The same service costs 3.7 times more in Kansas 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· 33rd of 51
$16.98
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.