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 $12.02 Median $15.49 Typical High $33.11 | Facility | None | $12.02 | $15.49 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $31.62 | Professional | None | $12.02 | $15.49 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $25.70 | Professional | None | $10.96 | $10.96 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $23.99 Typical High $61.66 | Facility | None | $15.49 | $23.99 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $10.23 Typical High $34.67 | Professional | None | $5.62 | $10.23 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
CareSource Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $17.78 | Professional | None | $11.75 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $39.81 Typical High $57.54 | Facility | None | $17.78 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $20.42 Typical High $27.54 | Professional | None | $10.96 | $20.42 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $66.07 | Professional | None | $19.50 | $26.92 | $66.07 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $8.13 Median $14.13 Typical High $38.02 | Professional | None | $8.13 | $14.13 | $38.02 |
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 $5.89 Median $7.59 Typical High $8.71 | Professional | 52 · Reduced service | $5.89 | $7.59 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.02 Typical High $3.47 | Professional | 53 · Discontinued | $2.40 | $3.02 | $3.47 |
Where Georgia sits
The same service costs 7.4 times more in Kansas than in Alabama. 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
$15.85
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.