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 $23.44 Median $23.44 Typical High $64.57 | Facility | None | $23.44 | $23.44 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $33.88 | Professional | None | $23.44 | $30.20 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $46.77 Typical High $123.03 | Facility | None | $30.20 | $46.77 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $19.95 Typical High $67.61 | Professional | None | $10.96 | $19.95 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $69.18 Typical High $107.15 | Facility | None | $35.48 | $69.18 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $40.74 Typical High $53.70 | Professional | None | $21.88 | $40.74 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $131.83 | Professional | None | $38.90 | $53.70 | $131.83 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $74.13 | Professional | None | $14.79 | $25.70 | $74.13 |
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 $11.75 Median $14.79 Typical High $16.98 | Professional | 52 · Reduced service | $11.75 | $14.79 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.89 Typical High $6.92 | Professional | 53 · Discontinued | $4.68 | $5.89 | $6.92 |
Where Georgia sits
The same service costs 4.3 times more in Alaska 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· 31st of 51
$30.90
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.