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 $15.14 Median $19.95 Typical High $42.66 | Facility | None | $15.14 | $19.95 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $22.91 | Professional | None | $15.14 | $19.95 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $30.90 Typical High $79.43 | Facility | None | $19.95 | $30.90 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $12.88 Typical High $44.67 | Professional | None | $7.08 | $12.88 | $44.67 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $50.12 Typical High $69.18 | Facility | None | $22.91 | $50.12 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $26.30 Typical High $35.48 | Professional | None | $14.13 | $26.30 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $85.11 | Professional | None | $25.12 | $34.67 | $85.11 |
United Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $47.86 | Professional | None | $10.00 | $16.22 | $47.86 |
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 $7.59 Median $9.55 Typical High $11.22 | Professional | 52 · Reduced service | $7.59 | $9.55 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.89 Typical High $4.47 | Professional | 53 · Discontinued | $3.02 | $3.89 | $4.47 |
Where Georgia sits
The same service costs 5.4 times more in Alaska 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· 33rd of 51
$20.42
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.