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 $20.42 Median $20.42 Typical High $57.54 | Facility | None | $20.42 | $20.42 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $31.62 | Professional | None | $20.42 | $26.92 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $107.15 | Facility | None | $26.92 | $41.69 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $16.22 Typical High $60.26 | Professional | None | $9.55 | $16.22 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $66.07 Typical High $95.50 | Facility | None | $30.90 | $66.07 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $35.48 Typical High $46.77 | Professional | None | $19.05 | $35.48 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $114.82 | Professional | None | $33.88 | $46.77 | $114.82 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $13.80 Median $23.99 Typical High $64.57 | Professional | None | $13.80 | $23.99 | $64.57 |
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 $10.23 Median $12.88 Typical High $15.14 | Professional | 52 · Reduced service | $10.23 | $12.88 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.25 Typical High $6.03 | Professional | 53 · Discontinued | $4.07 | $5.25 | $6.03 |
Where Georgia sits
The same service costs 4.2 times more in Kansas 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· 31st of 51
$26.92
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.