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 $4.68 Median $4.68 Typical High $12.30 | Facility | None | $4.68 | $4.68 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $5.89 Typical High $9.12 | Professional | None | $4.68 | $5.89 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.31 Median $7.76 Typical High $23.99 | Facility | None | $3.31 | $7.76 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.78 Median $3.47 Typical High $5.37 | Professional | None | $1.78 | $3.47 | $5.37 |
CareSource Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $15.49 Typical High $37.15 | Facility | None | $7.08 | $15.49 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $3.39 Typical High $10.23 | Professional | None | $2.57 | $3.39 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $13.18 | Professional | None | $6.61 | $8.51 | $13.18 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.17 Typical High $12.30 | Professional | None | $3.24 | $4.17 | $12.30 |
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 $2.34 Median $2.82 Typical High $3.39 | Professional | 52 · Reduced service | $2.34 | $2.82 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.12 Typical High $1.35 | Professional | 53 · Discontinued | $0.93 | $1.12 | $1.35 |
Where Georgia sits
The same service costs 5.4 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· 49th of 51
$4.17
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.