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 $16.60 Median $16.60 Typical High $46.77 | Facility | None | $16.60 | $16.60 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $24.55 | Professional | None | $16.60 | $21.38 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $32.36 Typical High $87.10 | Facility | None | $21.88 | $32.36 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $12.30 Typical High $45.71 | Professional | None | $7.24 | $12.30 | $45.71 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $54.95 Typical High $75.86 | Facility | None | $25.12 | $54.95 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $28.84 Typical High $38.02 | Professional | None | $14.45 | $28.84 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $87.10 | Professional | None | $27.54 | $38.02 | $87.10 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $10.47 Median $17.38 Typical High $52.48 | Professional | None | $10.47 | $17.38 | $52.48 |
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 $8.32 Median $10.23 Typical High $12.30 | Professional | 52 · Reduced service | $8.32 | $10.23 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.07 Typical High $4.90 | Professional | 53 · Discontinued | $3.39 | $4.07 | $4.90 |
Where Georgia sits
The same service costs 3.5 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· 39th of 51
$20.42
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.