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 $8.32 Median $8.32 Typical High $22.91 | Facility | None | $8.32 | $8.32 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $10.00 Typical High $12.02 | Professional | None | $8.32 | $10.00 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $42.66 | Facility | None | $10.72 | $15.85 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $5.89 Typical High $22.39 | Professional | None | $3.55 | $5.89 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $27.54 Typical High $57.54 | Facility | None | $12.30 | $27.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $14.13 Typical High $19.05 | Professional | None | $7.08 | $14.13 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $41.69 | Professional | None | $13.80 | $18.62 | $41.69 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $26.30 | Professional | None | $5.25 | $8.32 | $26.30 |
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 $4.17 Median $5.01 Typical High $6.03 | Professional | 52 · Reduced service | $4.17 | $5.01 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $2.00 Typical High $2.40 | Professional | 53 · Discontinued | $1.66 | $2.00 | $2.40 |
Where Georgia sits
The same service costs 6.5 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· 40th of 51
$10.00
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.