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 $10.96 Median $10.96 Typical High $28.84 | Facility | None | $10.96 | $10.96 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.59 Typical High $15.49 | Professional | None | $10.96 | $12.59 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $17.78 Typical High $56.23 | Facility | None | $5.13 | $17.78 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $6.46 Typical High $9.33 | Professional | None | $4.07 | $6.46 | $9.33 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $35.48 Typical High $57.54 | Facility | None | $16.22 | $35.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $8.13 Typical High $23.44 | Professional | None | $2.29 | $8.13 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $21.38 Typical High $30.90 | Professional | None | $13.49 | $21.38 | $30.90 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.40 Median $6.92 Typical High $33.88 | Professional | None | $2.40 | $6.92 | $33.88 |
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 $5.37 Median $6.31 Typical High $7.76 | Professional | 52 · Reduced service | $5.37 | $6.31 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.51 Typical High $3.16 | Professional | 53 · Discontinued | $2.19 | $2.51 | $3.16 |
Where Georgia sits
The same service costs 8.9 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· 48th of 51
$6.46
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.