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 $12.02 Median $12.02 Typical High $33.88 | Facility | None | $12.02 | $12.02 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $17.78 | Professional | None | $12.02 | $15.85 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $24.55 Typical High $63.10 | Facility | None | $15.85 | $24.55 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $9.55 Typical High $35.48 | Professional | None | $5.62 | $9.55 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $39.81 Typical High $57.54 | Facility | None | $18.20 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $20.89 Typical High $28.18 | Professional | None | $11.22 | $20.89 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $67.61 | Professional | None | $19.95 | $27.54 | $67.61 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.49 Typical High $38.02 | Professional | None | $7.76 | $13.49 | $38.02 |
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 $6.03 Median $7.76 Typical High $8.91 | Professional | 52 · Reduced service | $6.03 | $7.76 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.09 Typical High $3.55 | Professional | 53 · Discontinued | $2.45 | $3.09 | $3.55 |
Where Georgia sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 36th of 51
$15.85
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.