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 $9.12 Median $9.12 Typical High $25.12 | Facility | None | $9.12 | $9.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $13.18 | Professional | None | $9.12 | $11.75 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $19.95 | Professional | None | $8.32 | $8.32 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $18.20 Typical High $47.86 | Facility | None | $11.75 | $18.20 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $7.76 Typical High $26.30 | Professional | None | $4.27 | $7.76 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $57.54 | Facility | None | $13.80 | $30.20 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $15.85 Typical High $20.42 | Professional | None | $8.32 | $15.85 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $51.29 | Professional | None | $15.14 | $20.89 | $51.29 |
United Setting Professional Modifier None Typical Low $5.75 Median $10.00 Typical High $28.84 | Professional | None | $5.75 | $10.00 | $28.84 |
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 $4.57 Median $5.75 Typical High $6.61 | Professional | 52 · Reduced service | $4.57 | $5.75 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.29 Typical High $2.63 | Professional | 53 · Discontinued | $1.82 | $2.29 | $2.63 |
Where Georgia sits
The same service costs 3.7 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· 37th of 51
$12.02
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.