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 $3.09 Median $3.09 Typical High $8.71 | Facility | None | $3.09 | $3.09 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.72 Typical High $4.57 | Professional | None | $3.09 | $3.72 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $5.50 Typical High $16.22 | Facility | None | $3.80 | $5.50 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.35 Median $2.24 Typical High $6.92 | Professional | None | $1.35 | $2.24 | $6.92 |
CareSource Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $10.23 Typical High $24.55 | Facility | None | $4.68 | $10.23 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $5.37 Typical High $7.24 | Professional | None | $2.57 | $5.37 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $12.88 | Professional | None | $5.13 | $7.08 | $12.88 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.82 Typical High $9.77 | Professional | None | $2.04 | $2.82 | $9.77 |
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 $1.55 Median $1.86 Typical High $2.29 | Professional | 52 · Reduced service | $1.55 | $1.86 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.76 Typical High $0.91 | Professional | 53 · Discontinued | $0.62 | $0.76 | $0.91 |
Where Georgia sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 47th of 51
$3.63
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.