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 $2.29 Median $2.29 Typical High $6.31 | Facility | None | $2.29 | $2.29 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.95 Typical High $3.31 | Professional | None | $2.29 | $2.95 | $3.31 |
Ambetter Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $6.61 | Professional | None | $2.09 | $2.09 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.02 Median $4.57 Typical High $11.75 | Facility | None | $3.02 | $4.57 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.07 Median $1.95 Typical High $6.92 | Professional | None | $1.07 | $1.95 | $6.92 |
CareSource Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $7.59 Typical High $18.62 | Facility | None | $3.47 | $7.59 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.40 Typical High $5.13 | Professional | None | $2.14 | $2.40 | $5.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $12.59 | Professional | None | $3.80 | $5.13 | $12.59 |
United Setting Professional Modifier None Typical Low $1.55 Median $2.51 Typical High $7.24 | Professional | None | $1.55 | $2.51 | $7.24 |
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 $1.12 Median $1.45 Typical High $1.66 | Professional | 52 · Reduced service | $1.12 | $1.45 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.58 Typical High $0.68 | Professional | 53 · Discontinued | $0.46 | $0.58 | $0.68 |
Where Georgia sits
The same service costs 6.2 times more in Kansas 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· 36th of 51
$3.16
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.