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 $47.86 Median $47.86 Typical High $125.89 | Facility | None | $47.86 | $47.86 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $69.18 | Professional | None | $47.86 | $57.54 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $245.47 | Facility | None | $57.54 | $81.28 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $32.36 Typical High $104.71 | Professional | None | $17.78 | $32.36 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $138.04 Typical High $218.78 | Facility | None | $66.07 | $138.04 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $81.28 Typical High $109.65 | Professional | None | $32.36 | $81.28 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $194.98 | Professional | None | $77.62 | $107.15 | $194.98 |
United Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $147.91 | Professional | None | $30.90 | $42.66 | $147.91 |
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 $23.44 Median $28.18 Typical High $34.67 | Professional | 52 · Reduced service | $23.44 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.48 Typical High $13.80 | Professional | 53 · Discontinued | $9.55 | $11.48 | $13.80 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 42nd of 51
$53.70
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.