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 $6.76 Median $6.76 Typical High $18.62 | Facility | None | $6.76 | $6.76 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $9.77 | Professional | None | $6.76 | $8.13 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $11.48 Typical High $34.67 | Facility | None | $8.13 | $11.48 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $4.57 Typical High $14.79 | Professional | None | $2.51 | $4.57 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $22.39 Typical High $54.95 | Facility | None | $10.00 | $22.39 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $11.48 Typical High $15.49 | Professional | None | $4.79 | $11.48 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $27.54 | Professional | None | $11.22 | $15.14 | $27.54 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $21.38 | Professional | None | $4.27 | $6.03 | $21.38 |
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 $3.39 Median $4.07 Typical High $4.90 | Professional | 52 · Reduced service | $3.39 | $4.07 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.62 Typical High $1.95 | Professional | 53 · Discontinued | $1.35 | $1.62 | $1.95 |
Where Georgia sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 44th of 51
$7.59
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.