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 $12.59 Median $12.59 Typical High $34.67 | Facility | None | $12.59 | $12.59 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $18.62 | Professional | None | $12.59 | $16.22 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $27.54 | Professional | None | $11.75 | $11.75 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $25.70 Typical High $66.07 | Facility | None | $16.22 | $25.70 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $10.72 Typical High $37.15 | Professional | None | $5.89 | $10.72 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $41.69 Typical High $58.88 | Facility | None | $19.05 | $41.69 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $21.88 Typical High $28.84 | Professional | None | $11.75 | $21.88 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $70.79 | Professional | None | $20.89 | $28.84 | $70.79 |
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 $7.94 Median $13.49 Typical High $39.81 | Professional | None | $7.94 | $13.49 | $39.81 |
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 $6.31 Median $7.94 Typical High $9.33 | Professional | 52 · Reduced service | $6.31 | $7.94 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.24 Typical High $3.72 | Professional | 53 · Discontinued | $2.51 | $3.24 | $3.72 |
Where Georgia sits
The same service costs 5.5 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· 35th of 51
$16.60
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.