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 $13.49 Median $13.49 Typical High $36.31 | Facility | None | $13.49 | $13.49 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $19.95 | Professional | None | $13.49 | $16.22 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $22.39 Typical High $70.79 | Facility | None | $6.31 | $22.39 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $8.13 Typical High $11.48 | Professional | None | $5.13 | $8.13 | $11.48 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $44.67 Typical High $63.10 | Facility | None | $20.42 | $44.67 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $10.00 Typical High $29.51 | Professional | None | $2.75 | $10.00 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $38.90 | Professional | None | $16.98 | $26.30 | $38.90 |
United Setting Professional Modifier None Typical Low $3.02 Median $8.51 Typical High $42.66 | Professional | None | $3.02 | $8.51 | $42.66 |
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 $6.76 Median $8.13 Typical High $9.77 | Professional | 52 · Reduced service | $6.76 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.24 Typical High $3.98 | Professional | 53 · Discontinued | $2.69 | $3.24 | $3.98 |
Where Georgia sits
The same service costs 7.6 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· 50th of 51
$8.13
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.