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 $4.79 Median $4.79 Typical High $13.18 | Facility | None | $4.79 | $4.79 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $6.17 Typical High $7.24 | Professional | None | $4.79 | $6.17 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $9.55 Typical High $25.12 | Facility | None | $6.17 | $9.55 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $3.55 Typical High $14.79 | Professional | None | $2.24 | $3.55 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $15.85 Typical High $39.81 | Facility | None | $7.24 | $15.85 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $8.32 Typical High $10.96 | Professional | None | $4.57 | $8.32 | $10.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $27.54 | Professional | None | $7.94 | $10.96 | $27.54 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $3.24 Median $6.17 Typical High $15.85 | Professional | None | $3.24 | $6.17 | $15.85 |
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 $2.40 Median $3.02 Typical High $3.47 | Professional | 52 · Reduced service | $2.40 | $3.02 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.20 Typical High $1.41 | Professional | 53 · Discontinued | $0.95 | $1.20 | $1.41 |
Where Georgia sits
The same service costs 4.4 times more in Kansas 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· 50th of 51
$5.37
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.