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 $16.98 Median $16.98 Typical High $53.70 | Facility | None | $16.98 | $16.98 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $26.92 | Professional | None | $16.98 | $21.88 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $37.15 | Professional | None | $15.49 | $15.49 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $33.88 Typical High $89.13 | Facility | None | $21.88 | $33.88 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $14.45 Typical High $50.12 | Professional | None | $7.94 | $14.45 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $56.23 Typical High $77.62 | Facility | None | $25.70 | $56.23 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $29.51 Typical High $38.90 | Professional | None | $15.85 | $29.51 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $95.50 | Professional | None | $28.18 | $38.90 | $95.50 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $53.70 | Professional | None | $11.22 | $18.62 | $53.70 |
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 $8.51 Median $10.72 Typical High $12.30 | Professional | 52 · Reduced service | $8.51 | $10.72 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.27 Typical High $4.90 | Professional | 53 · Discontinued | $3.39 | $4.27 | $4.90 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 37th of 51
$22.39
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.