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 $3.63 Median $3.63 Typical High $9.77 | Facility | None | $3.63 | $3.63 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $5.50 | Professional | None | $3.63 | $4.37 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $6.61 Typical High $19.05 | Facility | None | $4.68 | $6.61 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $2.45 Typical High $9.12 | Professional | None | $1.48 | $2.45 | $9.12 |
CareSource Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
CareSource Setting Professional Modifier None Typical Low $3.55 Median $5.50 Typical High $5.50 | Professional | None | $3.55 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $12.02 Typical High $30.20 | Facility | None | $5.50 | $12.02 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $6.17 Typical High $8.32 | Professional | None | $2.88 | $6.17 | $8.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $17.78 | Professional | None | $6.03 | $8.32 | $17.78 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $11.48 | Professional | None | $2.45 | $3.47 | $11.48 |
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 $1.82 Median $2.19 Typical High $2.69 | Professional | 52 · Reduced service | $1.82 | $2.19 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.87 Typical High $1.07 | Professional | 53 · Discontinued | $0.72 | $0.87 | $1.07 |
Where Georgia sits
The same service costs 3.3 times more in Alaska than in Nebraska. 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· 45th of 51
$4.17
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.